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x ZĞĐŽƌĚLJŽƵƌĨŝŶĚŝŶŐƐďLJĂ͚ŚĞĐŬDĂƌŬ͛ŝŶƚŚĞĂƉƉƌŽƉƌŝĂƚĞďŽdžʹz^͕EKŽƌE͕ƵŶĚĞƌ
ƚŚĞ͚^ƚĂƚƵƐŽůƵŵŶ͛͘
x ͚ZĞŵĂƌŬƐĐŽůƵŵŶ͛
R tƌŝƚĞĞǀŝĚĞŶĐĞĂƐ/;ŚĞĐŬĞĚƚŚƌŽƵŐŚ/ŶƚĞƌĂĐƚŝŽŶƐͬ/ŶƚĞƌǀŝĞǁƐͿ͕;ŚĞĐŬĞĚ
ďLJ ǀĞƌŝĨLJŝŶŐ ŽĐƵŵĞŶƚƐͿ͕ , ;ŚĞĐŬĞĚ ƚŚĞ ,ĂƌĚǁĂƌĞͿ ĂŶĚͬ Žƌ W ;ŚĞĐŬĞĚ
+    WƌĂĐƚŝĐĞŝŶ ĨŝĞůĚͿ ďĂƐĞĚ ŽŶ ƚŚĞ ĂĐƚƵĂů ĞǀŝĚĞŶĐĞ ĐŚĞĐŬĞĚ ĨŽƌ WW ĐŽŵƉůŝĂŶĐĞ͘
WƌŽǀŝĚĞĂĚĚŝƚŝŽŶĂůĚĞƚĂŝůƐ͕ŝŶĐůƵĚŝŶŐƉŝĐƚƵƌĞƐƚŽĞŶƐƵƌĞƚƌĂĐĞĂďŝůŝƚLJ͘
R WƌŽǀŝĚĞƌĞĐŽŵŵĞŶĚĂƚŝŽŶƐǁŚĞƌĞƚŚĞƐƚĂƚƵƐŝƐ͚EK͛
x EKĂŶƐǁĞƌƐŝŶĚŝĐĂƚĞĂŶŽŶͲĐŽŶĨŽƌŵĂŶĐĞĂŶĚĂƌĞƚŚĞďĂƐŝƐĨŽƌĂƌĞĐŽŵŵĞŶĚĂƚŝŽŶĨŽƌ
ŝŵƉƌŽǀĞŵĞŶƚ
x /ĨŶŽŶͲĐŽŶĨŽƌŵĂŶĐĞŝƐĐŽƌƌĞĐƚĞĚĂƚƚŚĞƚŝŵĞŽĨƚŚĞƵĚŝƚͬ^ĞůĨʹƐƐĞƐƐŵĞŶƚŝƚƐĞůĨ͕ŝƚ
ŵƵƐƚƐƚŝůůďĞůŽŐŐĞĚĂƐĂŶŽŶͲĐŽŶĨŽƌŵĂŶĐĞ͘
x &Žƌ E ĂŶƐǁĞƌƐ͕ ƉůĞĂƐĞ ǁƌŝƚĞ ĂƉƉƌŽƉƌŝĂƚĞ ĐŽŵŵĞŶƚƐ ƵŶĚĞƌ ͚ZĞŵĂƌŬƐ͛ ĐŽůƵŵŶ
ĞdžƉůĂŝŶŝŶŐǁŚLJƚŚĞƐĂŵĞŝƐ͚EŽƚƉƉůŝĐĂďůĞ͛͘
ŽŶĞĂŶĚh/ 

h/,ĞĂĚ͕ 1DPHRIWKH8,&  'DWH


+HDGBBBBBBBBBBBBBBBBBBBBBBBBBBB
7LPHBBBBB+UVWRBBBBB+UV
ƌĞĂZĞƉƌĞƐĞŶƚĂƚŝǀĞ
$UHD5HS1DPHBBBBBBBBBBBBBBBBBBBBBBBB


 ,/Eh^dE/E>d͘
 
    ĂƚĞ ϮϮͲϭϬͲϮϬϭϲ
 ^ƚĂŶĚĂƌĚŽĐƵŵĞŶƚEŽ͘ ,>ͬ^ZW^ͬϬϲ
 ZĞǀŝƐŝŽŶEŽ͘ Ϭϭ
33(67$1'$5' WĂŐĞEŽ͘ $ͮϮ ϵ 


65 $XGLW&KHFNOLVW 6WDWXV 5HPDUNV
 %  
+ 2 3

ϭ͘ ,ĂƐ WW ƐƚĂŶĚĂƌĚ ďĞĞŶ ŝŵƉůĞŵĞŶƚĞĚ ĂŶĚ
ĐŽǀĞƌƐƚŚĞĞŶƚŝƌĞĂƌĞĂͬĂĐƚŝǀŝƚŝĞƐ͍ H8  8  &8 
Ϯ͘ sĞƌŝĨLJ ŝĨ ƚŚĞ ĨŽůůŽǁŝŶŐ ĚŽĐƵŵĞŶƚƐ ĂƌĞ ŝŶ

ƉůĂĐĞ ĂŶĚ ƚŚĞŝƌ ůŽĐĂƚŝŽŶƐ ŬŶŽǁŶ ĂŶĚ
ĐŽŶƚĞŶƚƐƵŶĚĞƌƐƚŽŽĚďLJ>ŝŶĞDĂŶĂŐĞƌƐ͗ 
x &ŽƌŵĂů WW DĂƚƌŝdž ĨŽƌ ƚŚĞ ĞŶƚŝƌĞ ĂƌĞĂ
H8  8  &8 
ĂŶĚ ŝŶĚŝǀŝĚƵĂů ǁŽƌŬ ƐƚĂƚŝŽŶƐ ǁŚĞƌĞ ũŽď
ƐƉĞĐŝĨŝĐWWŝƐƵƐĞĚ 
x WW/ƐƐƵĞZĞŐŝƐƚĞƌƐ H8  8  &8 

x ŽĐƵŵĞŶƚĂƚŝŽŶ ŽĨ WW ƌĞƋƵŝƌĞŵĞŶƚƐ ŝŶ H8  8  &8 


^KW͛Ɛ͕^DW͛Ɛ^tW͛Ɛ͕:^͕ƐĂƐŶĞĞĚĞĚ
ϯ͘ ƌĞ ƚŚĞ WW DĂƚƌŝdž ĂǀĂŝůĂďůĞͬĚŝƐƉůĂLJĞĚ H8  8  &8 
ƐƵŝƚĂďůLJŝŶƚŚĞǁŽƌŬĂƌĞĂƐ 
ϰ͘ ,ĂǀĞƚŚĞůŝŶĞŵĂŶĂŐĞŵĞŶƚƌĞĐĞŝǀĞĚƚƌĂŝŶŝŶŐ
ŝŶWW^ƚĂŶĚĂƌĚƐ H8  8  &8 
ϱ͘ ƌĞWWƐŝŐŶĂŐĞĂĚĞƋƵĂƚĞůLJĚŝƐƉůĂLJĞĚ 
x ^ŝŐŶĂŐĞ ĨŽƌ DĂŶĚĂƚŽƌLJ WWƐ ĂƐ
ŝĚĞŶƚŝĨŝĞĚďLJƚŚĞnjŽŶĞ H8  8  &8 
x ^ŝŐŶĂŐĞ ĨŽƌ ƚĂƐŬͬĂƌĞĂ ƐƉĞĐŝĨŝĐ WW ĂƐ H8  8  &8 
ŶĞĞĚĞĚ
 H8  8  &8 
ϳ͘ŽĞƐƚŚĞƋƵĂůŝƚLJŽĨWW͛ƐƵƐĞĚďLJƚŚĞ
H8  8  &8 
ĐŽŶƚƌĂĐƚŽƌƐΘǀŝƐŝƚŽƌƐĐŽŶĨŽƌŵƚŽƚŚĞ
H8  8  &8 
ƌĞƋƵŝƌĞŵĞŶƚƐƉĞĐŝĨŝĞĚŝŶ^DDŽĚƵůĞ
H8  8  &8 

H8  8  &8 

Ϯ͘Ϭ  
4  3

ϭ͘Ž ƚŚĞ ŚĞůŵĞƚƐ ĐĂƌƌLJ ƚŚĞ ĨŽůůŽǁŝŶŐ
ŝŶĨŽƌŵĂƚŝŽŶ H8  8  &8 

H8  8  &8 


Ă͘ EĂŵĞŽĨƚŚĞĞŵƉůŽLJĞĞ
ď͘ EĂŵĞŽĨƚŚĞŽƌŐĂŶŝƐĂƚŝŽŶͬůŽŐŽ H8  8  &8 
Đ͘ ŵƉůŽLJĞĞƐďůŽŽĚŐƌŽƵƉ
 ,/Eh^dE/E>d͘
 
    ĂƚĞ ϮϮͲϭϬͲϮϬϭϲ
 ^ƚĂŶĚĂƌĚŽĐƵŵĞŶƚEŽ͘ ,>ͬ^ZW^ͬϬϲ
 ZĞǀŝƐŝŽŶEŽ͘ Ϭϭ
33(67$1'$5' WĂŐĞEŽ͘ $$ͮϮ ϵ 


Ϯ͘ŽƚŚĞŚĞůŵĞƚĐŽůŽƵƌĐŽĚĞŝƐďĞŝŶŐĨŽůůŽǁĞĚ
ϯ͘tŚĞƚŚĞƌƚŚĞůŝĨĞŽĨƚŚĞŚĞůŵĞƚŝƐƐƚŝůůǀĂůŝĚĂƐ
ƉƌĞƐĐƌŝďĞĚďLJƚŚĞŵĂŶƵĨĂĐƚƵƌĞƌ͍

ϯ͘Ϭ  
'   3
H8  8  &8 
ϭ͘ ƌĞ ǁĞůĚĞƌƐ͕ ŐĂƐ ĐƵƚƚĞƌƐ ƵƐŝŶŐ ĂƉƉƌŽƉƌŝĂƚĞ
ĞLJĞǁĞĂƌƉƌŽǀŝĚŝŶŐĐŽƌƌĞĐƚƉƌŽƚĞĐƚŝŽŶ H8  8  &8 
Ϯ͘ ,ĂǀĞ ƚĂƐŬƐ ďĞĞŶ ŝĚĞŶƚŝĨŝĞĚ ǁŚĞƌĞ &ĂĐĞ

ƐŚŝĞůĚƐ ĂƌĞ ƌĞƋƵŝƌĞĚ ŽǀĞƌ ĂŶĚ ĂďŽǀĞ
ĞdžĐůƵƐŝǀĞWWĨŽƌLJĞWƌŽƚĞĐƚŝŽŶ
ϰ͘Ϭ  
4   3

ϭ͘ ,ĂǀĞ ŵĂŶĚĂƚŽƌLJ ,ĞĂƌŝŶŐ WƌŽƚĞĐƚŝŽŶ ƐŝŐŶƐ
ďĞĞŶ ƉŽƐƚĞĚ ǁŚĞƌĞ ŶŽŝƐĞ ůĞǀĞůƐ ĂƌĞ ŚŝŐŚ H8  8  &8 
;хϴϱĚͿ͍

Ϯ͘ ƌĞĐŽŶĐĞƌŶĞĚƉĞƌƐŽŶŶĞůŚĂǀĞďĞĞŶƚƌĂŝŶĞĚ
ŽŶƚŚĞƵƐĞĂŶĚĐĂƌĞŽĨ,ĞĂƌŝŶŐƉƌŽƚĞĐƚŝŽŶ͍ H8  8  &8 
ϯ͘ ƌĞ ĂŶŶƵĂů ĂƵĚŝŽŐƌĂŵ ƌĞĐŽƌĚƐ ŵĂŝŶƚĂŝŶĞĚ
H8  8  &8 
ŽĨĂůůƉĞƌƐŽŶƐĞdžƉŽƐĞĚƚŽŶŽŝƐĞхϴϱĚ͍
ϰ͘ ƌĞ Ăůů ƚŚĞ ďĂůĂŶĐĞ ĞŵƉůŽLJĞĞƐ ĐŽǀĞƌĞĚ H8  8  &8 
ƵŶĚĞƌWĞƌŝŽĚŝĐƵĚŝŽŵĞƚƌŝĐƚĞƐƚŝŶŐ;KŶĐĞŝŶ

ƚŚƌĞĞLJĞĂƌƐͿĂŶĚĂƌĞƌĞĐŽƌĚƐĂǀĂŝůĂďůĞ͍
ϱ͘ ƌĞ ďĂƐĞůŝŶĞ ĂƵĚŝŽŐƌĂŵƐ ŵĂŝŶƚĂŝŶĞĚ ĨŽƌ Ăůů H8  8  &8 
ŶĞǁĞŵƉůŽLJĞĞƐ͍
H8  8  &8 
ϲ͘ ,ĂǀĞ ŚŝŐŚ ŶŽŝƐĞ ĂƌĞĂƐ ďĞĞŶ ŝĚĞŶƚŝĨŝĞĚ ǁŝƚŚ
ďůƵĞŵĂƌŬŝŶŐƐŽƌĐŚĂŝŶƐ͍ 
ϳ͘ /Ɛ ƚŚĞ ďĂƐŝĐ ŚLJŐŝĞŶĞ ŽĨ ƌĞƐƉŝƌĂƚŽƌƐ ďĞŝŶŐ
ŵĂŝŶƚĂŝŶĞĚ͕ ŝŶĐůƵĚŝŶŐ ƚŝŵĞůLJ ĚŝƐƉŽƐĞ ďĂƐĞĚ
ŽŶůŝĨĞƉƌĞƐĐƌŝďĞĚďLJƚŚĞŵĂŶƵĨĂĐƚƵƌĞƌ͍
ϱ͘Ϭ  
     3
ϭ͘ ƌĞ d>s͛Ɛ ĂǀĂŝůĂďůĞ ĨŽƌ Ăůů ĂŝƌďŽƌŶĞ H8  8  &8 
ĐŽŶƚĂŵŝŶĂŶƚƐĂƚƚŚĞǁŽƌŬƉůĂĐĞ͍
H8  8  &8 
Ϯ͘ /Ɛ Ăŝƌ ŵĞĂƐƵƌĞŵĞŶƚ ĚŽŶĞ ŝŶ ƐƵĐŚ
ĐŽŶƚĂŵŝŶĂƚĞĚĂƌĞĂƐ͍ 
ϯ͘ /Ɛ Ă ŵĞĚŝĐĂů ĞdžĂŵŝŶĂƚŝŽŶ ĚŽŶĞ ĨŽƌ ĞĂĐŚ
ŝŶĚŝǀŝĚƵĂů ǁŚŽ ŵƵƐƚ ǁĞĂƌ ƌĞƐƉŝƌĂƚŽƌLJ H8  8  &8 

ƉƌŽƚĞĐƚŝŽŶĚƵƌŝŶŐƌŽƵƚŝŶĞǁŽƌŬ͍ 
ϰ͘ ,ĂǀĞ ƚĂƐŬ ƐƉĞĐŝĨŝĐ ƌĞƐƉŝƌĂƚŽƌLJ ƉƌŽƚĞĐƚŝŽŶ
ƵƐĞĚĨŽƌƚĂƐŬƐůŝŬĞWĂŝŶƚŝŶŐũŽďƐ͘ H8  8  &8 

ϲ͘Ϭ  
5    3
 ,/Eh^dE/E>d͘
 
    ĂƚĞ ϮϮͲϭϬͲϮϬϭϲ
 ^ƚĂŶĚĂƌĚŽĐƵŵĞŶƚEŽ͘ ,>ͬ^ZW^ͬϬϲ
 ZĞǀŝƐŝŽŶEŽ͘ Ϭϭ
33(67$1'$5' WĂŐĞEŽ͘ $,ͮϮ ϵ 


ϭ͘ ,ĂǀĞ ƉƌŽƚĞĐƚŝǀĞ ĐůŽƚŚŝŶŐ ŽƚŚĞƌ ƚŚĂŶ ƚŚĞ 
ƐƚĂŶĚĂƌĚƵŶŝĨŽƌŵďĞĞŶŝĚĞŶƚŝĨŝĞĚĨŽƌƵƐĞŝŶ H8  8  &8 
ƚŚĞWWŵĂƚƌŝdž͍
Ϯ͘ /Ɛ ŚĞŵŝĐĂů WƌŽƚĞĐƚŝǀĞ ĐůŽƚŚŝŶŐ ƵƐĞĚ ǁŚŝůĞ H8  8  &8 
ŚĂŶĚůŝŶŐĐŚĞŵŝĐĂůƐ͍ H8  8  &8 
ϯ͘ ƌĞWƌŽƚĞĐƚŝǀĞĐůŽƚŚŝŶŐƐƚŽƌĞĚĂĚĞƋƵĂƚĞůLJ͍
ϰ͘ ƌĞ ĐůĞĂŶŝŶŐ ĂŶĚ ŵĂŝŶƚĞŶĂŶĐĞ ŽĨ ďŽĚLJ H8  8  &8 
ƉƌŽƚĞĐƚŝŽŶƐƵŝƚƐĂƌĞďĞŝŶŐƚĂŬĞŶĐĂƌĞ͍

ϳ͘Ϭ  
4  3

ϭ͘ ,ĂƐ ƚĂƐŬ ƐƉĞĐŝĨŝĐ ŚĂŶĚ ƉƌŽƚĞĐƚŝŽŶ ďĞĞŶ
ŝĚĞŶƚŝĨŝĞĚ ĨŽƌ Ăůů ƚĂƐŬƐ ƚĂŬŝŶŐ ŝŶƚŽ ĂĐĐŽƵŶƚ H8  8  &8 
ƚĞŵƉĞƌĂƚƵƌĞ ŽĨ ŽƉĞƌĂƚŝŽŶƐ͕ ƌĞƐŝƐƚĂŶĐĞ ƚŽ

ĐŚĞŵŝĐĂůƐ͕ĐƵƚƐ͕ĂďƌĂƐŝŽŶƐ͕ǀŝďƌĂƚŝŽŶĞƚĐ͍͘
Ϯ͘ Ž ŝŶƐƉĞĐƚŝŽŶ ŽĨ ŚĂŶĚ ŐůŽǀĞƐ͕ ďĞĨŽƌĞ ĂŶĚ H8  8  &8 
ĂĨƚĞƌƵƐĞďĞŝŶŐĨŽůůŽǁĞĚ͍


ϴ͘Ϭ  
6   3

ϭ͘ Ž Ăůů ĞŵƉůŽLJĞĞƐ ǁĞĂƌ ŵĂŶĚĂƚŽƌLJ ĨŽŽƚ
ƉƌŽƚĞĐƚŝŽŶŝŶƚŚĞƉůĂŶƚ͍ H8  8  &8 
Ϯ͘ Ž Ăůů ĐŽŶƚƌĂĐƚŽƌƐ͕ ǀŝƐŝƚŽƌƐ͕ ƚƌĂŶƐƉŽƌƚ
H8  8  &8 
ƉĞƌƐŽŶŶĞů ǁĞĂƌ ŵĂŶĚĂƚŽƌLJ ĨŽŽƚ ƉƌŽƚĞĐƚŝŽŶ
ŝŶƚŚĞƉůĂŶƚ͍ 
ϯ͘ ,ĂǀĞ ƚĂƐŬ ƐƉĞĐŝĨŝĐ ĨŽŽƚ ƉƌŽƚĞĐƚŝŽŶ ďĞĞŶ
H8  8  &8 
ŝĚĞŶƚŝĨŝĞĚ͍͘Ő͘ůĞĐƚƌŝĐŝƚLJͬŚĞŵŝĐĂůƐĞƚĐ͘
ϵ͘Ϭ  
6  3
H8  8  &8 
ϭ͘ /ƐŝƚĞŶƐƵƌĞĚƚŚĂƚĂůů^ĂĨĞƚLJŚĂƌŶĞƐƐĞƐ
ĐŽŵƉůLJǁŝƚŚƚŚĞ,>ƐƚĂŶĚĂƌĚ͍ H8  8  &8 
Ϯ͘ /ƐƚŚĞƐĂĨĞƚLJďĞůƚƐŚĂǀĞďĞĞŶĐĞƌƚŝĨŝĞĚďLJƚŚĞ

ĐŽŵƉĞƚĞŶƚĂƵƚŚŽƌŝƚLJĂƐƉĞƌƐƚĂƚƵƚŽƌLJ
ƌĞƋƵŝƌĞŵĞŶƚ͍ H8  8  &8 
ϯ͘ /ƐĂƐLJƐƚĞŵŽĨƉĞƌŝŽĚŝĐŝŶƐƉĞĐƚŝŽŶŽĨ^ĂĨĞƚLJ

ŚĂƌŶĞƐƐĞƐŝŶƉůĂĐĞ͍
ϰ͘ /ƐĂĚĞƐƚƌƵĐƚŝŽŶƐĐŚĞĚƵůĞĨŽƌƐĂĨĞƚLJ
ŚĂƌŶĞƐƐĞƐŝŶƉůĂĐĞ͍Ğ͘Ő͘ĨƚĞƌĚƌŽƉůŽĂĚŝŶŐ͕
ŽƌĂĨƚĞƌĂƉƌĞƐĐƌŝďĞĚƉĞƌŝŽĚƐƉĞĐŝĨŝĞĚďLJƚŚĞ
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Approving Maintenance and
S No Category Hazard Job Application Area Make Model photo Material code Specification/Long text
and certifying rejection criteria

On Wear/Tear and 
RESPIRATOR,SAFETY,TYPE: DUST,HAVING EXHALE VALVE,TYPE: FOLD FLAT TYPE (FFOLDING),TO 
Joseph Lesli JL 2400V 414623200000 Depending on the 
PROTECT AGAINST RESPIRABLE DUST,OFFER MUST BE SUBMITTED WITHSAMPLE
contaimination

On Wear/Tear and 
RESPIRATOR,SAFETY,TYPE: DUST,HAVING EXHALE VALVE,TYPE: FOLD FLAT TYPE (FFOLDING),TO 
Venus 420v 414623200000 Depending on the 
PROTECT AGAINST RESPIRABLE DUST,OFFER MUST BE SUBMITTED WITHSAMPLE
contaimination
For protection against dust, & welding 
Dust mask fumes & Avian Influenza / SARS as  NIOSH
recommended by WHO approved N95 
mask , IS 9473 ‐ 
2002

MASK,SAFETY, TYPE:DUST, MATERIAL:TEXTILE, COLOR:GREY OR YELLOW, MANUFACTURER 
On Wear/Tear and 
NAME:VENUS,REFERENCE NUMBER:V410‐V FFP1,CLASS, FOLD FLAT TYPE: IS‐9473:2002 AND DGMS 
Venus 410v 414600006100 Depending on the 
APPROVED RESPIRATOR WITH ONE WAY EXHALATION VENT VALVE, ALUMINIUM NOSE CLIP, 
contaimination
STITCHED DOUBLE TEXTILE ELASTIC BANDS WITH ADJUSTABLE BEADS

On Wear/Tear and 
RESPIRATOR,SAFETY,TYPE: DUST,HAVING EXHALE VALVE,TYPE: FOLD FLAT TYPE (FFOLDING),TO 
3M 9004GV 414623200000 Depending on the 
PROTECT AGAINST RESPIRABLE DUST,OFFER MUST BE SUBMITTED WITHSAMPLE
contaimination

On wear/tear or 
CARTRIDGE,AMMONIA/METHYLAMINE, PART NAME: CARTRIDGE,PART MATERIAL: AMMONIA/METHYLAMINE,MM: 6004,FOR 
Gas mask cartridge ‐ Ammonia NIOSH Approved  3M MM: 6004 414642006000 6months whichever is 
MM:6004 GASS(NH3),SUITABLE TO FIT IN 3M 6200 HALF MASK,FOR RESPIRATOR
Respiratory  Smelter &  earlier
1
System Mines
On wear/tear or 
PART NAME: CARTRIDGE,FILTER,MM: 7093P100,FOR LEAD DUST AND LEAD,CADMIUMZINC METAL 
Gas mask cartridge ‐ Lead CARTRIDGE,FILTER,MM:7093P100 NIOSH Approved  3M MM: 7093P100 414642007000 6months whichever is 
FUMES,SUITABLE TO FIT IN 3M 6200 HALF MASK,FOR RESPIRATOR
earlier

On wear/tear or 
Gas mask cartridge ‐ Acid Fumes, Cl2,  CARTRIDGE,ACID FUME,SO2,SO3  PART NAME: CARTRIDGE,MM: 6003,ACID FUME,CL2,SO2,SO3 GAS,FOR RESPIRATOR,HHALF 
NIOSH Approved  3M MM: 6003 414642008000 6months whichever is 
So2/So3 GAS,MM:6003 MASK,MAKE: 3M,MODEL NUMBER: 6200
earlier

Gas mask cartridge ‐ Multi 
CARTRIDGE,MULTI GAS,MM:60926 NIOSH Approved  3M MM: 60926
Gas/Vapour

RESPIRATOR,SAFETY,TYPE: DOUBLE CARTRIDGE,GAS MASK,MATERIAL: POLYVINYL  On wear/tear or 
For protection against vapour MASK,SAFETY,HALF,MM:TM 6200 NIOSH Approved  3M MM: TM 6200 414642000000 CHHLORIDE,FILTER TYPE: VAPOUR,COMFORTABLE AND EASY TO USE,FACE PIECE SHOULD BE  6months whichever is 
REUSABLE,CARTRIDGE AND FILTER REPLACEABLE,MM: 3M TM 6000‐3M 6200 earlier

RESPIRATOR,SAFETY,TYPE: AIR LINE,CLEAN PRESSURE,FILTER TYPE: PANEL,WITHHOOD, BREATHING 
On wear/tear or 
RESPIRATOR,SAFETY,AIRLINE,CLN  TUBE WITH ADAPTER, AIR REGULATOR, HOSE SIZE: 50 FEETWITH SACHRADER TWIST LOCK FITTINGS, 
Airline Respirator 3M 416710005100 6months whichever is 
PRES,100FT AS PER STANDARD MATERIAL:IS‐10245‐1982 EN‐136,THREE OUTLETS AND ROLLED ON A WHEEL / 
earlier
RETRACTABLESPOOL, FOR FACE MASK, MAKE: SURE SAFETY

NIOSH
approved mask, 
Solid material charging, or work in 
meets ANSI Z87.1  On wear/tear or 
confined space where there are  RESPIRATOR,SAFETY,WITH HARDHAT HOOD, FOR FACEMASK, WITH EASILY ADJUSTABLE 
RESPIRATOR,SAFETY,HARDHAT HOOD ‐ 2003 3M PR315 416710005200 6months whichever is 
chances of Asphyxiation or presence  SUSPENSION AND ADJUSTABLE AIRFLOW, MAKE: 3M
requirements for  earlier
of Toxic gases
lens

# Sensitivity: Internal (C3)
Joseph Lesli MICROCHEM 3000

The lightest and most comfortable 
chemical protective garments available. Wash & keep dry after 
CLOTHING,SUIT,TYPE: PVC,ACID/ALKALI PROOF,MATERIAL: HIGH POLYETHYLENE FIIBER,SIZE: 
Featuring soft and flexible fabric, strong  each use             
Smelter 411256344000 FREE,STANDARD: IS 4501: 1981,EN‐369,374/3 CE 0120,TYPE: LNCPC100 ABC NUMBER,WITH YELLOW 
welded seams and an effective wide  Du Pont Tychem Once damaged / 
POLYMER COATING ON TOP
ranging chemical barrier, it remains the  punctured
preferred choice of industry for 
chemical protection.
 The back open coat is extremely soft, 
lightweight for protection against 
EN 14605 (Type 3 
Protection against chemicals hazardous chemical splash.
& 4),IS4501‐1981
 The back open coat is certified for 
Type 3, Type 4, Type 5 & Type 6 
protection to EN 14605, EN 13982‐1 & 2 
& EN 13034 respectively.
 The back open coat is made from 
triple layered fabric having good 
mechanical strength and higher chemical  Lakeland ChemMAX
resistance

CLOTHING,SUIT, TYPE:PVC,ACID/ALKALI PROOF, MATERIAL:PVC/NYLON SCRIM, STYLE:COVERALL, 
COLOR:YELLOW, SIZE:FREE, MANUFACTURER Wash & keep dry after 
MICROCHEM‐3000  MODEL:MICROCHEM‐3000 PAPR,WITH CLEAN AIR CHEMICAL‐2 F PAPR MODEL NUMBER: 510000FCA  each use             
Smelter Joseph Leslie 411259210000
PAPR (CLEANAIR CHEMICAL 2F (INCLUDES PAPR, BATTERY, CHARGER, BODY BELT & FLOW INDICATOR)  Once damaged / 
WITH AIR HOSE QUICK LOCK MODEL NUMBER: 710060 WITH COMBINATION FILTER FILTER  punctured
A2B2E2K2P3 MODEL NUMBER: 500168

BODY 
2
Protection

Joseph Lesli MICROGARD 1800

# Sensitivity: Internal (C3)
CLOTHING,SUIT,TYPE: BARRIER MAN COVERALL,MATERIAL: TYVEK,COLOR: OFF WHITTE,FLAME 
Body protection against hazardous  Once 
Clothing suit,barrier man coverll white Smelter Du Pont Tyvek 41120820800 RETARDENT,NON INFLAMMABLE,SUPERIER QUALITY MATERIAL,COMFORTABLEIN WEARING,FREE IN 
chemicals and dust damaged/punctured
SIZE IN ONE PIECE,MM: 1442A

Lakeland Safegard GP

CLOTHING Jaceket FLRSN FOR  Smelter  Once 


High visibility jacket IS approved Reflectosafe 411200200000 CLOTHING,JACKET,TYPE: FLUORESCENT,SIZE: FREE
IDENTIFCATION OF PERSONS &Mine damaged/punctured

ISO 11612: 2015  
ISO 15025:2000, 
Procedure A, 
Code 
A1&Procedure B, 
Code A2          
7.3 : Radiant Heat 
(Code C) ‐ as per 
CLOTHING,COAT,TYPE: BARRIER MAN COVERALL,MATERIAL: LEATHER,COLOR:WHITE,SIZE: XTRA 
CLOTHING Leather COAT BAR MAN  ISO 6942 Once 
Protection Against Heat Smelter Weldohard  411208215000 LARGE,FLAME RETARDENT, NON INFLAMMABLE, SUPERIERQUALITY MATERIAL, COMFORTABLE IN 
COVALL 7'.6 : Contact  damaged/punctured
WEARING
Heat (Code F)‐as 
per ISO L2t27‐t
7.5 : Molten iron 
Splash (Code E) ‐ 
as per ISO 9185   
7.6:Molten 
aluminum splash 
ISO 9185

Once 
411200124000 APRON,MATERIAL: LEATHER,SIZE: 24 X 48 INCH,MADE FROM EXPORT QUALITY LEATHER
damaged/punctured

Protection Against Heat & Molten  Leather Clothing‐ Aprom, Arm Guard,  ISO 11611 & Smelter &  GUARD,SAFETY,TYPE: ARM GUARD,OUTSIDE MATERIAL: LEATHER, PATTERN: WOOLEN,SLEEVES 


Weldohard
Metal Leg Guard ISO 11612 Mines WITH INSIDE WOOLEN FLENT AND FLANNEL LINING,EXPORT QUALITY: COMPLETE PROTECTION OF 
411227043000
ARM,MADE OF HEAVY LEATHER (SAMPLE SHOULD BE SUBMITTED
ALONGWITH THE OFFER)

GUARD,SAFETY,TYPE: LEG GUARD,INSIDE MATERIAL: WOOLEN,OUTSIDE MATERIAL: LEATHER,WITH 
INSIDE WOOLEN FLENT AND FLANNELINING, EXPORT QUALITY‐MADE OF HEAVY LEATHER,COMPLETE  Once 
411226000000
PROTECTION OF FOOT AND LEG UP TO KNEE JOINT.‐SHOULD HAVE BELCROW FOR TIGHTENING THE  damaged/punctured
SAME IN LEG. 

# Sensitivity: Internal (C3)
CLOTHING,SUIT,TYPE: FLAME PROOF,MATERIAL: COTTON,SAVIOUR FLAME 
ISO 11612 and  Weldohard/ Once 
Protection Against Molten Metal Fire Retardant Suit Smelter 411208209000 RETARDANT,SPECIFICATION: EN‐366/367,CE MARK,THREE PIECE SUIT WITH CHINESE 
E3/D3 certified  Sure Safety damaged/punctured
COLLAR,JACKET,PANT AND HOOD ATTACHED WITH TWO FRONT POCKETS AND CLOSING

ISO 11612 and D3  Once 
Protection Against Heat Aluminised Suit Smelter Joseph Leslie 411208201000 Two Layered Aluminized Heat Protective Boiler Suit, Leslico
certified  damaged/punctured

Smelter &  410802010000 Once 


Protection Against Electricity Arc Flash Suit Salisbury SKCA8 / SK20 CLOTHING,SUIT,ARC FLASH,PANT
Mines 410802011000 damaged/punctured

EN 166 , EN 167,
EN 168, EN 170 
or ANSI 
Cleaned after use with 
APPROVED ‐ ANSI  SHIELD,SAFETY,TYPE: VISOR,SUITABLE TO FIT IN ANY HELMET HAVING SLOT FORFIXING THE SAME 
Face protection For Chemical splash  a damp cloth and 
Face Protection Z87.1 ‐ Smelter Unicare UEE 107 411230620000 MADE FROM SUPERIOR QUALITY HEAT RESISTANT ACRYLIC VISOR. AS PER STANDARD IS 8521 (PART‐
,Heat and small particals change When it is 
2003 for high  1): 1971 OR POLY CARBONATE VISOR,ANSI Z87 CE MARK,HAVING SLOT FIX
damaged
impact, IS 8940 ‐
1978

EN 166 , EN 167,
EN 168, EN 170 
or ANSI 
Cleaned after use with 
APPROVED ‐ ANSI 
Face protection For Chemical splash  SHIELD,SAFETY,TYPE: VISOR,SIZE: 12 X 9 INCH,COLOR: BLUE,ADJUSTABLE HEADBAND,IT SHOULD  a damp cloth and 
Face Protection Z87.1 ‐ Smelter Unicare UEE 107 411230031000
,Heat and small particals COVER UPTO EARS AND CHIN AND SHOULD NOT CAUSE INCONVENIENCE FOR NECK MOVEMENT change When it is 
2003 for high 
damaged
impact, IS 8940 ‐
1978

EN 166 , EN 167,
EN 168, EN 170 
or ANSI 
Cleaned after use with 
APPROVED ‐ ANSI  SHIELD,SAFETY,TYPE: VISOR,SUITABLE TO FIT IN ANY HELMET HAVING SLOT FORFIXING THE SAME 
Face protection For Chemical splash  a damp cloth and 
Face Protection Z87.1 ‐ Smelter Karam ES51 411230620000 MADE FROM SUPERIOR QUALITY HEAT RESISTANT ACRYLIC VISOR. AS PER STANDARD IS 8521 (PART‐
,Heat and small particals change When it is 
Face  2003 for high  1): 1971 OR POLY CARBONATE VISOR,ANSI Z87 CE MARK,HAVING SLOT FIX
3 damaged
Protection impact, IS 8940 ‐
1978

EN 166 , EN 167,
EN 168, EN 170 
or ANSI 
Cleaned after use with 
APPROVED ‐ ANSI 
Face protection For Chemical splash  SHIELD,SAFETY,TYPE: VISOR,SIZE: 12 X 9 INCH,COLOR: BLUE,ADJUSTABLE HEADBAND,IT SHOULD  a damp cloth and 
Face Protection Z87.1 ‐ Smelter Karam ES51 411230031000
,Heat and small particals COVER UPTO EARS AND CHIN AND SHOULD NOT CAUSE INCONVENIENCE FOR NECK MOVEMENT change When it is 
2003 for high 
damaged
impact, IS 8940 ‐
1978

# Sensitivity: Internal (C3)
MASK,SAFETY,TYPE: BALACLAVA,MATERIAL: HEAVY DRILL COTTON CLOTH SOFT,FORTAPERS 
ISO 11612: 2015  
Face Protection from Heat and dust Face and Neck Protection BALACLAVA Smelter Joseph Lesli Jemini Klopman 411200500000 HOOD,COMFORTABLE IN WEARING,FOR OVER ALL COVER ON HEAD,FACE ANDNECK WITH OPENING  When it is damaged
and D3 certified 
AT BOTH EYES AND ATTACHED LACE FOR TIGHTENING AT NECK

Madatory  PPE, Every one has to wear 
it while getting enter in the 
Joseph Leslie 2001/3001
Plant/Mine Premises .
 The Hard Hats  are designed to absorb 
HELMET,SAFETY,INDUSTRIAL,MATERIAL: HIGH‐DENSITY 
Strong head impacts and injury  some of the energy of an impact  411229015000‐Joseph  As Per DGMS 
Mines/  POLYETHYLENE,CONNECTION,,HEADBAND/CHINSTRAP: ADJUSTABLE REXENE HEADBANDS,COLOR: 
4 HELMET  penetration which can be caused by  through partial destruction of  Safety helmet Leslie Guideline should be 
Smelter WHITE,STANDARD:IS 2925/1984,HEAD BAND MATERIAL: NYLON,ADJUSTABLE COTTON CHIN 
falling of heavy objects. component parts and, even though  411229012000‐Karam reject after 3 years
STRAPS,ISIMARKED AND DGMS APPROVED,WITH LAMP BRACKET AND CABLE CLIPS
damage may not be readily apparent, 
Karam
any protective hard hat subject to  SHELTEK ‐PN581
impact should be replaced.

Emergency PPE , Madatory  For UG 
work  Roshimzaschita SHS‐30E
 Self‐rescuers  to provide seccondary 
source for breathing ,are intended 
for use in environments such 
418105000000‐Dezega As Per OEM Shelf Life 
as underground Mine Metal Mine , Coal  RESPIRATOR,SAFETY, TYPE:SELF RESCUER,DEMO, MANUFACTURERMODEL:CI‐30,SERVICE LIFE: 10 
Mines/  418102005800‐ is 10 years or after 
5 Self Rescuer Risk of Fire and Explosion Mine where there is a risk of fire or  Self Rescuer YEARS, ESCAPE FROM DANGEROUS ENVIRONMENT:30 MINS, NOMINAL RATED DURATION AS PER 
Smelter Roshimzaschita Colour Change of 
explosion, and in a location where no  EN13794:2002
Indicator 
external rescue may be available for 
some time – the wearer must make 
Dezega  CI 30
their own way to safety , this is required 
a sper DGMS MMR 2019 Regulation no ‐
213

Karam PCGS10SS
After Each fall 
Fall Protection  PART NAME: BLOCK,FALL ARRESTER,RETRACTABLE with 10 m Rope ,PART NUMBER :  Maintenance should 
Work at  Protection from fall during free fall with  Mines/ 
6 Fall From Height  while working at  418105006800‐Karam PCGS306SS,WITHWIRE ROPE, CABLE MATERIAL: STAINLESS STEEL, LENGTH: 6 MTRS,  be done or as per 
Height sudden jerk Smelter
Height ‐Block FORHORIZONTAL ANCHORAGE LINE SYSTEM ON RIGID CABLE LINE, MAKE: KARAM Check it can rejected 
also.

Model ‐ SRL
3M REBEL 33' SS
Cable

To be used at 
above 6 m 
height work 

Karam UEE‐302 After Each fall 


Inspection should be 
Fall Protection  BELT,SAFETY,TYPE: FULL BODY HARNESS with shock absorber ,APPLICATION: LINEMAN,FOR WORK 
It enables the worker to work at heights  done or as if any 
Work at  while working at  Mines/  ON POLLES,CONFIRM TO EN 361,SIZE: MEDIUM/LARGE,ADJUSTABLE SHOULDER AND THIGH 
7 Fall From Height  in a well‐supported position, with both  411207303000‐Karam physical damage 
Height Height ‐Full body  Smelter STRAP,HOOK MODEL NUMBER: UEE‐302 WITH TWIN LIFE LINES (LANYARDS),2 CHESTATTACHMENT 
hands free. found or observed it 
Harness D‐RING AND DORSAL ATTACHMENT D‐RING,MM: UEE‐284 To be used at above 6 m height work 
should be rejected 
immediately.

3M™ DBI-SALA®
ExoFit NEX™
Lineman Arc
3M
Flash Harness
with 2D Belt
1113682

# Sensitivity: Internal (C3)
Karam 56
After Each fall 
Inspection should be 
It enables the worker to work at heights  Fall Protection  done or as if any 
Work at  Mines/ 
8 Fall From Height  in a well‐supported position, with both  while working at  411207314000‐Karam BELT,SAFETY,TYPE: FULL BODY HARNESS without lanyard ,PART NUMBER : 56 physical damage 
Height Smelter
hands free. Height ‐Belt found or observed it 
should be rejected 
3M™ DBI-SALA® immediately.
Delta™ Crossover-
3M Style Construction
Climbing Harness
(1101812)

Karam 351
After Each fall 
In the event of a fall the special webbing  Inspection should be 
Fall Protection 
inside the Energy Absorber opens up.  done or as if any 
Work at  while working at  Mines/  BELT,SAFETY,TYPE: ROPE LANYARD with shock absorber  only ,PART NUMBER : 351To be used at 
9 Fall From Height  This opening of the webbing takes up  411207315000‐Karam physical damage 
Height Height ‐rope  Smelter above 6 m height work  only 
most of the jerk which is felt as an  found or observed it 
lanyard
impact when a fall occurs should be rejected 
immediately.
3M Protecta Twin 
3M
Leg lanyard 

After Each fall 
Karam PN4000/07 Inspection should be 
Fall Protection 
Shock absorbers serve the purpose of  done or as if any 
Work at  while working at  Mines/  PART NAME: ABSORBER,SHOCK,PART MATERIAL: STAINLESS STEEL‐316,PART NUMBER: 
10 Fall From Height  limiting excessive suspension  418105007300‐Karam physical damage 
Height Height ‐Shock  Smelter PN4000/07,FOR HORIZONTAL ANCHORAGE LINE SYSTEM ON RIGID CABLE LINE,MAKE: KARAM
movement. found or observed it 
Absorber
should be rejected 
immediately.
3M NOT AVAILABLE

Karam  PN22 After Each fall 


Fall Protection  Inspection should be 
To provide safe anchorage for  while working at  done or as if any 
Work at  Mines/  BELT,SAFETY,TYPE: FULL BODY HARNESS only ,PART NUMBER : PN22,FOR HORIZONTALANCHORAGE 
11 Fall From Height  horizontal movement while working at  Height ‐ 411207313000‐Karam physical damage 
Height Smelter LINE SYSTEM ON RIGID CABLE LINE, MAKE: KARAM
height. Horozontal  found or observed it 
Anchorage Line should be rejected 
3M Protecta Full  immediately.
3M
Body Harness

High Ankle Safety 
fiber/composite toe safety shoes, On wear/tear or 1 
Shoe with Fiber  Smelter &  411204804300
Impact-heavy objects mandatory for everyone to enter to Liberty WARRIOR year whichever is 
Toe/ Composite  Mines 411204805200
smelter/mines premises earlier
Toe 411204806200
411204807200 SHOE,SAFETY,DESIGN STANDARD: BIS/EN345/344,TYPE: HIGH ANKLE,ACCESSORIES:
411204808200 WITH FIBER TOE,MATERIAL: LEATHER,CHEMICAL RESISTANCE:
411204809300 ACID,OIL,HEAT,POWER PROOF: SHOCK,SIZE: NO.4/5/6/7/8/9/10/11/12
411205310100
High Ankle Safety  411204811200
Compression-rolling or pinching Shoe with Fiber  Smelter &  Eagle and BS 411204812200
Leather boots or safety shoes Bata
objects/ vehicles Toe/ Composite  Mines 2013
Toe

# Sensitivity: Internal (C3)
High Ankle Safety 
Shoe with Fiber  Smelter & 
Slippery or wet surface Slip resistant soles Allen Cooper AC1625//AC 1416
Toe/ Composite  Mines
Toe

High Ankle Safety 
12 Foot Shoe with Fiber 
Penetration-sharp objects Puncture resistant soles
Toe/ Composite 
Toe

IS 12255/IS 
12256/ IS 
On wear/tear or 1 
Smelter &  14 INCH BLACK, 12257/IS 
Penetration-chemical Chemical resistant boots/covers Gum Boots DUCKBACK year whichever is 
Mines GREY COLOUR 12258/IS 
earlier
12259/IS 
12269

411204206000
411204207000 SHOE,SAFETY,DESIGN STANDARD: IS 12255,TYPE: GUM BOOT,ACCESSORIES: WITH S
Smelter &  411204208000 STEEL TOE,MATERIAL: VIRGIN POLYVINYL CHLORIDE,CHEMICAL RESISTANCE: ACID,
Splashing-chemical Rubber boots/ closed top shoes Gum Boots Liberty WARRIOR 411204209000 ALKALI,POWER PROOF: ELECTRIC SHOCK,COLOR: BLACK,SIZE: NO.6/7/8/9/10/11,  HEIGHT: 14,STOCK 
Mines
411204210000 NET LINING,ANTI SKID FOR FIRM WITH TO AVOID SKIDDING ON WET SURFACE
411204211000

Smelter & 
Exposure to extreme cold Other: Insulated boots or shoes Gum Boots Bata 802-6224
Mines

Cut resistant 
Smelter & 
gloves   (Cut Level‐ JOSEPH LESLIE C1400
Mines
5)

Cut resistant  GLOVES,PROTECTIVE,TYPE: HAND,SEAMLESS,INTERNAL MATERIAL: COTTON,EXTERNAL, MATERIAL: 
Smelter &  EDGE 48‐703, 1. When palm coating 
Penetration-sharp objects, For protection against mechanical gloves   (Cut Level‐ Ansell RUBBER, CUFF STYLE: ELASTIC,LENGTH: 250 MM,KNITTED COTTON, WITH RUBBER COATING, THE 
Mines EDGE 48‐705 411224123000 worn out EN 388
Penetration-animal bites hazard, cut & abraision resistance 5) BACK OF GLOVES ARE UNCOATED HAS UNIFORM FINISH FOR ENHANCED GRIP, CUT, ABRASION, 
2. When gloves torn
PUNCTURE AND TEAR RESISTANCE, EN STANDARD APPROVED

Cut resistant 
Smelter & 
gloves   (Cut Level‐ Lakeland 96‐5202
Mines
5)

General purpose 
Smelter & 
work gloves (Cut  JOSEPH LESLIE PU1003
Mines
Level‐1)

GLOVES,PROTECTIVE, TYPE:HAND, APPLICATION:GENERAL PURPOSE,SEAMLESS
KNITTED POLYESTER SHELL BLACK PU COATED GLOVES, FOR GENERAL ASSEMBLY,
General purpose  PRECISION JOBS, HANDLING SMALL OBJECTS, PACKING AND WAREHOUSE, MATERIAL
Penetration-rough objects General maintenance/handling work work gloves (Cut  Smelter &  Ansell Hyflex 11‐801 411224337000 1. On wear & tear EN 388
Mines COATING: PU, LINER: POLYESTER, ELASTIC: NATURAL RUBBER, EN‐388 BY SGS,
Level‐1) ABRASION RESISTANCE LEVEL‐3, CUT RESISTANCE LEVEL‐1, TEAR RESISTANCE
LEVEL‐3, PUNCTURE RESISTANCE LEVEL‐1

General purpose 
Smelter & 
work gloves (Cut  Karam HS22
Mines
Level‐1)

# Sensitivity: Internal (C3)
Chemical
Smelter & 
resistant PVC JOSEPH LESLIE POLYSOL
Mines
gloves
1. When glove shows 
GLOVES,PROTECTIVE,TYPE: HAND,ACID PROOF,EXTERNAL MATERIAL: POLYVINYL 
any discolouration
Handling acid, alkali & other chemicals CHLLORIDE/RUBBER,SIZE: 16 INCH,WITH LINING SAVIOUR PVC SUPPORTED,CONCENTRATED  EN 388 & EN 
411224153000 2. When change in 
CHEMICAL RESISTANT (ACID/ALKALI PROOF),MADE FROM SUPERIOR QUALITY PVCINSIDE COTTON  374
physical properties
REINFORCEMENT,FOR BETTER GRIP AND LONGER LIFE
Chemical 3. On Wear & Tear
Smelter & 
resistant PVC Ansell SOLVEX 37‐185
Mines
gloves

Chemical

Nitrile hand Smelter & 


JOSEPH LESLIE JLNF15
gloves Mines

1. When glove shows 
GLOVES,PROTECTIVE,TYPE: HAND,COATING: NITRILE LATEX,FULL DOUBLE DIPPED,C
any discolouration
Handling oil/solvents & chemicals of COATING ON 100% COTTON JERSEY WITH KNITTED WRIST WITH STANDARD: EN‐388,A EN 388 & EN 
411224336000 2. When change in 
low concentration like spent PPROVAL AND CE MARKED,SUITABLE FOR ABRASION,CUT AND PUNCTURE RESISTANCE, HANDLING  374
physical properties
OIL,CHEMICALS,SOLNITRILE LATEX COATED HAND GLOVES
3. On Wear & Tear
Nitrile hand Smelter & 
Ansell SOLVEX 37‐185
gloves Mines
13 Hands

GLOVES,PROTECTIVE, TYPE:HAND SAFETY,SAFE WELD, APPLICATION:WELDING,EXTERNAL 
MATERIAL:SPLIT CHROME LEATHER,PREMIUM QUALITY SPLIT CHROMELEATHER WELDING GLOVE, 
Heat resistant FOR MIG/ARC WELDING, PROVIDES PROTECTION FROMMINOR SPLASHES OF MOLTEN METAL, 
Smelter &  EN 388 &
Leather hand Weldohard FOR HOT WORK 411224840800 PROTECTION FROM MECHANICAL HAZARDS, EN388 ABRASION RESISTANCE LEVEL‐4, CUT  1. On wear & tear
Mines EN 407
gloves RESISTANCE LEVEL‐1, TEAR RESISTANCELEVEL‐4, PUNCTURE RESISTANCE LEVEL‐3, EN‐407 BURNING 
BEHAVIOUR LEVEL‐4,CONTACT HEAT LEVEL‐1, CONVECTIVE HEAT LEVEL‐3, RADIANT HEAT LEVEL‐
2,SPLASH OF MOLTEN METAL LEVEL‐4
For protection against welding , hot
Extreme heat jobs, Welding application

Canadian hand Smelter &  GLOVES,PROTECTIVE,TYPE: HAND,LENGTH: 10.5 INCH,TYPE: CANADIAN,PALM SIDEFULL SLIT  EN 388 &


Weldohard FOR HOT WORK 411224335000 1. On wear & tear
gloves Mines LEATHER AND BACK SIDE WITH DRILL CLOTH SUPERIOR QUALITY,COMFORTABLE IN WEARING EN 407

GLOVES,PROTECTIVE,TYPE: HAND,EXTERNAL MATERIAL: LEATHER,THICKNESS: 1‐1.5
Heat resistant
For handling hot/molten metal in  5 MM,LENGTH: 14 INCH,WITH INSIDE FELT LINING,AND FITTED WITH FULL INSIDE
Molten Metal Leather hand Smelter Weldohard FOR HOT METAL 411224040000 1. On wear & tear
melting casting, ISF, LRP, ZRP area SUPERIOR QUALITY FLANNEL CLOTH LINING,SUPERIOR QUALITY CHROME AND SPLIT
gloves
LEATHER THICKNESS: 1.5 MM

Latex/surgical Smelter & 
JOSEPH LESLIE JL5000
gloves Mines

GLOVES,PROTECTIVE,TYPE: HAND,SURGICAL,INTERNAL MATERIAL: LATEX,SIZE: 9 1. On wear & tear
Blood Working in laboratory, testing machine 411224020300 INCH,MAX DISPOSABLE, EXAMINATION, NON STERILE AMBIDEXTROUS LIGHT 2. Replace after each 
POWDERED (USP GRADE) activity

Latex/surgical Smelter & 
Ansell 92‐600
gloves Mines

# Sensitivity: Internal (C3)
1. On Wear & Tear
2. On Validity expiry 
(As per GESM 
standards, validity for 
Electric Volts 
electrical gloves is 
handled &  Smelter & 
Electrical shock Working on electric panel/circuit Salisbury Honeywell Electrosoft 411224056000 GLOVES,PRTVE,ARC FLASH,Salisbury,AFG40 only for 12 months  EN 60903
Insulated rubber  Mines
from date of 
gloves
manufature or for 6 
months from date of 
use whichever is 
earlier)

Cotton, leather, 
Smelter &  VIBRAGAURD 07‐
or anti‐ vibration  Ansell
Mines 112
gloves

EN 388 
Construction work with hand grinder, 
Material code is to be  (3221), EN 
Vibration power tools,  different vibrating tool,  1. On wear & tear
created 10819, EN 
impact hammer, jack hammer, drilling, 
420
Cotton, leather, 
Smelter & 
or anti‐ vibration  Superior VIBRASTOP
Mines
gloves

 ES007 Z87+ clear & 
Karam
Antifog (Both)
GOGGLES,SAFETY,MANUFACTURER MODEL : G‐103,OVERSPECT GLASSES, COLOR:CLEAR WHITE, 
ZERO POWER LENS, CLEAR HARD COATED POLYCARBONATE MATERIAL,99.9 % UV PROTECTION, 
Flying particles, Dust and foreign  To be used by people who are using  Mines/  Damage, scratch or 
14 EYE Safety overspecs 411225109000 FRAMELESS DESIGN, CLEAR INBUILT NOSE BRIDGE WHICHGIVES COMFORT SHOULD BE WORN 
paticles  prescribed specs Smelter vision blur
EASILY OVER OTHER GLASSES
Unicare UEE181

 ACCESSORIES,SAFETY,TYPE: GOGGLE,POWER,APPLICATION: EYE,COLOR:TRANSPARANT,MODERATE 
Flying particles, Dust and foreign  To be used by people who are having  Mines/  Damage, scratch or 
15 EYE Power Goggles GKB MI 27 411225206100 IMPACT RESISTANT PLANO LENS, LENS MATERIAL: POLYCARBONATE, FRAME COLOUR: BLACK
paticles  prescribed glasses Smelter vision blur

Unicare UEE172

GOGGLES,SAFETY,LENS MATERIAL: POLYCARBONATE,ACID SPLASH PROOF‐GAS TIGHT,,SUPER 
To be used in chemical splash potential  Splash proof  VISION,EXTREMELY SCRATCH RESISTANT OUT SIDE NON FOGY & UVEX,ULTRASONIC VISION: UEE160 
Chemical Splash, Gas tight, impact  Mines/  Damage, scratch or 
16 EYE areas, reagent areas etc. where there is  goggles 411224507000 (UNICARE) OR ITS EQUIVALENT,SHOULD BE APPROVED BY ISI,PROTECTION FROM CHEMICAL 
and dust proof Smelter vision blur
a chance of splash SPLASH,IMPACT & DUST

3M 2890A

SF401AF & & 
3M SF3701AS

GOGGLES,SAFETYTYPE: ANTI‐FOG ANTI STATIC SCRATCH,STYLE: SPECTACLE,LENSMATERIAL: 
ES015 Clear and 
Karam GLASS/PLASTIC,LENS COATING: ULTRADURA,FRAME COLOR:BLACK,MANUFACTURER MODEL :  Damage, scratch or 
Antifog (Both) 411225012000
9170861,MAKE: 3M vision blur

Industrial type general purpose Anti Fog  General purpose 
Flying particles, Dust and foreign  Mines/ 
17 EYE and clear goggles to be used for glasses Anti Fog

# Sensitivity: Internal (C3)
17 EYE and clear  goggles, to be used for  glasses Anti Fog 
paticles  Smelter
general purpose type and clear

UVEX UVEX PHEOS CX2

GOGGLES,SAFETY, TYPE:ANTI‐FOG ANTI STATIC SCRATCH, FRAME COLOR:BLUE,NEW XC WITH 
HYDROSHIELD (CLEAR HYDROSHIELD COATING ), LENS MATERIAL: POLYCARBONATE, FRAME 
1011027 HS – New  MATERIAL: PLASTIC, LENS COATING: HONEYWELL HYDROSHIELD, CERTIFICATIONS: EC CERTIFICATE  Damage, scratch or 
Honeywell 411225207100
XC NUMBER: EC1144, STANDARD(S): EN166:200‐EC CATEGORY PPE: 2‐QUALITY ASSURANCE: ISO 9001 /  vision blur
2000, LENS
COATING: CLEAR/GRAY/AMBER( 10 110 27 HS/10 1110 25 HS/10 129 00 HS )

3M 1426

EAR MUFF,SAFETY,TYPE: ROOMY AND DURABLE,GENERAL PURPOSE PADDED,FEATURES:: FOR 
Hearing Damage, temporary or  Industrial type hearing protection, to be 
Mines/  RELIABLE PROTECTION,FOR EVERY DAY USE,LIGHT WEIGHT DESIGN AND FLEXIBLE HEADBAND TO  Wear and tear, 
18 Ear permanent hearing loss, permanent  used at high noise areas on in  Ear Muff 411216010000
Smelter PROVIDE AN EASY FIT AND COMFORT TO THE USE WITH ADJUSTABLE EAR,REF: 1435 puncture
thresshold shift machineries

3M PELTOR, X series

3M 1270
Soft Pliable <(>&<)> Reusable EAR PLUGS confirming to EN352‐2:2002Specification, Pre‐moulded for 
Wear and tear, poor 
Hearing Damage, temporary or  Industrial type hearing protection, to be  secure fit, having reversible TripleFlanges for easy cleaning <(>&<)> an integral cord (neck string) 
Mines/  condition, poor fitting, 
19 Ear permanent hearing loss, permanent  used at high noise areas on in  Ear Plug 411216100000 topreventplug loss, supplied in plastic box, display packed in poly bag having CEMark and with 
Smelter dirty 
thresshold shift machineries instructions for use.
condition+L+L105

Honeywell SMF30

# Sensitivity: Internal (C3)
Severity 4: Imminent Danger; Serious Injury

Working on fragile roof without crawling ladder

HINDUSTAN
HINDUSTANZINC
ZINC
Severity 4: Imminent Danger; Serious Injury

Welding machine without life saving Voltage reduction device

HINDUSTAN
HINDUSTANZINC
ZINC
Severity 5: Imminent Danger; Potential Death

The person beneath the parked Truck and Driver approaching


Driver seat
HINDUSTAN
HINDUSTANZINC
ZINC
Severity 5: Imminent Danger; Potential Death

Un barricaded Excavated Pit

HINDUSTAN
HINDUSTANZINC
ZINC
Severity 5: Imminent Danger; Potential Death

Person standing below the lifted load

HINDUSTAN
HINDUSTANZINC
ZINC
Severity 5: Imminent Danger; Potential Death

HINDUSTAN
HINDUSTANZINC
ZINC
Severity 5: Imminent Danger; Potential Death

Working on the running equipment/conveyor without isolation/PTW


HINDUSTAN
HINDUSTANZINC
ZINC
Severity 5: Imminent Danger; Potential Death

Sitting behind the parked vehicle without


wheel choke

HINDUSTAN
HINDUSTANZINC
ZINC
Document owner Corporate Safety

HINDUSTAN
HINDUSTANZINC
ZINC
The document sets the
guideline to identify the
competent contractors, and to
ensure they delivers with zero
harm throughout the
engagement.

Contractor
Safety
Management
Standard

Corporate CSM Team

Hindustan Zinc Limited


Document Title Contractor Safety Management Standard
Doc No HZL/CSM/HSE 1000.00 Doc Date 20th July 2020

Contents
Document Control: ............................................................................................ 1
01. Objectives: ............................................................................................... 3
02. Scope: ..................................................................................................... 3
03. Definitions: ............................................................................................... 6
04. Roles and Responsibilities: ......................................................................... 9
05. Process: ................................................................................................. 11
5.1 Identifications (Pre-Qualifications): ........................................................... 12
5.2 Planning ................................................................................................ 16
5.3 Mobilisation ............................................................................................ 18
5.4 Execution: ............................................................................................. 20
5.5 Evaluation and Closure: ........................................................................... 23
References: .................................................................................................... 25
Annexure-1: Pre – Qualification Format........................................................... 25
Annexure-2: Pre- Qualification Evaluation Guidelines and Format ....................... 26
Annexure-3: Pre-Qualification Variance Format ................................................ 26
Annexure-4: Planning Document Format ......................................................... 26
Annexure-5: Induction / Refresher Training Topics ........................................... 26
Annexure-6: HSE Scorecards ......................................................................... 29
Annexure-7: Tools and Tackles Audit/ Facility Audit .......................................... 29
Annexure-8: HSE Management review ............................................................ 30
Annexure-9: Sameeksha Program .................................................................. 30
Annexure-10: Contract Closure Evaluation Form .............................................. 30
Annexure-11: Incentive Penalty Scheme ......................................................... 31

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01. Objectives:
HZL manages its operations, projects and other essential services with the supports of
OEMs, Project Partners and various service providers.

Being a labour-intensive industry,


HZL is committed to providing a safe
work environment for all direct
employees, contractors’ employees,
along with visitors of various capacity
visiting our sites.

The standard sets the guidelines to


ensure competent contractors are
chosen. Every requirement of the
standard shall be followed in letter
and spirit to ensure ‘Zero Harm’ i.e.
1. No fatalities,
2. No loss time injuries (LTI)
3. No medical treatment injuries
(MTI),
4. No first aid injuries (FAC)
5. No occupational illness Figure 1 Goal - Zero Harm
6. No environmental incidents.

02. Scope:
This standard shall apply to all on-site activities where an HZL executed contract is in
effect. The term “on-site” includes HZL-owned and/ or leased facilities.
User may refer Figure-2 Standard Scope to decide the applicability of the standard for
the requirements under consideration.

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Figure 2 Standards Scope

*No/Limited hazard Exposure Services:


• These services don't require to perform task/job at machine/equipment by
contractor personnel on his/her own physically.
• Minimum qualification: minimum graduate, with minimum 5 years of job specific
experience
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• These services require limited site visit, always accompanied by HZL


representative.
• Admin Services i.e. catering, security, horticulture, event management, Taxi
and Bus services etc.
• Logistic Services i.e. Goods Transportations covered under VDSS.
• These services shall be rendered in a group consist of maximum 5 people.
• Example: Consultancy services like study and/or data analysis, Classroom
training at Plant, Office equipment/ SCADA-DCS/ IT equipments configuration
(Software part), Audits and Assessments, Legal and other Certifications, Hiring
of equipments and tools without operators.

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03. Definitions:
While referring to the standards, following definitions will be used.
• Area: a specific work location within a site or other designated boundary limits
as applicable to various categories of contractors.
• Contract: a formal obligation between parties, regardless of payment type
(i.e., lump sum, unit price, time and materials, or cost plus), that is enforceable
by law; an agreement between parties to furnish goods and/or services in
return for compensation
• Contract Administration Manager (CAM): Contract Administration Manager
is the Management Representative who is responsible for the implementation
and ongoing management of the Contract Safety Management Directive during
the contract process
• Contract Custodian Manager (CCM): is a representative of Contract
Administrative Manager, who serves as the person primarily responsible for
ensuring that the Contractors comply with all HSE obligations which have been
agreed in the Contract.
• Contract Employee: a person employed by a contractor to carry out work
under the terms of a contract.
• Contract Manager (CM): is an HZL representative, who has been assigned by
the Contract Custodian Manager for coordinating the work activities to be
performed by the Contractor for the entire life cycle of the contract. CM and CR
shall jointly ensure the contract deliverables are fulfilled safely without any
violation of the any of the safety standards.
• Contractor Representative (CR): is a Contractor Employee, nominated by
Site in-charge (Contractor). S/He is single point of contact for Contract Manager
(CM) to co-ordinate the activities and compliance to all applicable safety
standards. CM and CR shall jointly ensure the contract deliverables are fulfilled
safely without any violation of the any of the safety standards.
• Contract Supervisor: is a contract employee, who is responsible to execute
the assigned task in safe manner under the guidance of HZL employees, Site
In-charge, CM, CCM, CAM defined in this section. There shall be one supervisor
for every 20 contractor workers or as per local legislation
• Contract Worker: Contract Employee in the category below supervisor.
Examples: shop-floor personnel i.e. technicians, labours, riggers.

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• Contractor: Contractor/Contractor Owner is a person/Firm/Proprietor or


business which provides goods or services to HZL under terms specified in a
HZL contract.
• Goods: tangible things that are produced, bought or sold, then finally stored
and/or consumed.
• Hazardous Locations: — is an area of operation/facility where either or both
fixed and mobile equipment or machinery operates in which the person(s)
primary protection from exposures to the hazards is by means of physical
safeguards and rigid compliance to procedural requirements. The safeguards
from the risks due to the hazards are generally governed by the FPEs.
• Hazardous Work: is an activity/task performed which requires adherence to
safe work methods/ procedures and or safety equipment to protect the persons
from hazard(s) which has potential to result in adverse effects on the safety and
or health of persons (fatality, permanent disability or lost time injury, Medical
Treatment Case and First-Aid Case). These activities/tasks are governed by the
requirements of the Fatality Prevention Elements (FPEs-High Risk Standard),
trainings and permit to work (PTW).
• HSE Variance: It is a contract administration risk management process by
which a Contractor that does not meet established HSE requirements is
approved to perform a service for HZL (existing contractors), provided
additional risk management controls are established
• Project / Site / Operations: are referred to as a geographically defined work
environment that may contain more than one identifiable work area or business
operation. Operation may also be referred to as a facility, plant or site. For this
Standard, the terms “facility” and “plant” are used interchangeably.
• Site Conditions: a document provided to contractors that contains specific
information relative to safety health, fire protection, facilities, housekeeping,
and working conditions.
• Safety Officer (Contractor): A person employed by Contractor to ensure
safety regulations are adhered in true spirit, He/she is also responsible to
ensure hazards and risks are identified and mitigated while developing a culture
in safety. There shall be one safety officer against 50 Contract Employees.
• Safety Officer (HZL): A person employed by HZL to ensure safety regulations
are adhered in true spirit, He/she is also responsible to ensure hazards and risks
are identified and mitigated while developing a culture in safety.

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• Service: A transaction that provides work performed by an individual or team


for the benefit of its customers. It provides intangible products, such as
accounting, overhauling, consulting, cleaning, landscaping, education,
insurance, treatment, and transportation services. A service is consumed at the
point of sale
• Site In-charge (Contractor): is a contractor representative, who is nominated
by Contractor and responsible to deliver the services as per agreement in safe
manner and will be single point of contact for CM, CCM, CAM defined in this
section.
• Scope Document: a document provided to contractors that contains a brief
description of the scope of work; instructions to the contractors on various
procedures; information to be provided by the contractor; a list of applicable
attachments.
• Sub-Contractor: Sub-Contractor/ Sub-Contractor Owner is a person /Firm or
business which provides goods or services to HZL through Main Contractor as
per terms specified in the contract as agreed with Main Contractor. The
standard is equally applicable to Sub-Contractor.
• Third Party personnel: Personnel employed by a third-party service provider
that are
o Fulfilling functions with their own know-how.
o Under the direct responsibility and authority of third-party contractors
o Includes consultants, service engineers, expats.

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04. Roles and Responsibilities:


• Chief Executive Officer:
is ultimately responsible for ensuring adequate resource (Human, Financial,
Equipments, Services etc.) allocations to implement the standards across HZL.
He/she may nominate competent personnel at various zones to allocate the
resources further as required.
• SBU Director | Location Head | Site Presidents or Equivalent:
Nominated by Chief Executive Officer; is responsible for identifying overall
location specific resource requirements and allocations as required. He/she is the
responsible person to ensure the standards are implemented at various UIC in
his/her respective Zone.
• Contract Administration Manager (CAM): Nominated by SBU Director /
Location Head / Site President or equivalent, Generally Unit Head is responsible
for ensuring the implementation and performance review of standard at his/her
unit. Major responsibilities include and not limited to,
o Nominate Contract Custodian Manager to enable the compliance to the
standard.
o Review and audit of pre-qualification (PQ) process at Unit.
o Form Cross Functional Pre-Qualification Assessment Team called CFPQ
Team.
o Participate/ designate representative for contract preparation and award
phase activities.
o Review and audit contract execution and controls on deliverables.
He/she is also responsible to ensure documentation and records of the standards
for all the relevant contractors.
• Contractor Custodian Manager (CCM): Nominated by CAM; Operation and/or
Engineering head or equivalent, is responsible for implementing the standard at
his/her functions. Major responsibilities include and not limited to,
o Nominate competent Contract Manager for upcoming contract and existing
contract if required upon movements, discontinuation of services either
due to resignation or superannuation.
o Maintain record of CFPQ Team validated approved contractor list in his/her
area.
o Participate/ designate representative on pre-commencement phase
activities.

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o Communication of necessary information, instructions and changes in HZL


HSE requirements to the relevant contractor prior to the commencement
and during the life of the contract in his/her functions.
o Ensure all the equipments and materials being brought in by the
contractors are as per HZL standards and requirements as agreed.
o verify necessary technical competence of the human resources to perform
the required services.
o Monitor and evaluate the contractor HSE performance and assign
adequate resources to improve the performance. CFSA & other safety
observations discussions in monthly safety meetings with contractors
o Participate / designate representative for hand-over and acceptance phase.
o Review and put up concluding remarks in close-out process and final review
phase.
• Contract Manager (CM): Nominated by CCM; a single point of contact for the
contractor personnel, is responsible for ensuring compliance to CSM standards
for the contract, he/she handles. Major roles include and not limited to,
o Communicating major hazards, risk assessments and control plans for the
job to the contractors prior to the commencement of the contract and
during the contract he/she is handles.
o Finalising and organising necessary HSE and job specific trainings to the
employees under the contract.
o Conducting regular audits of various tools and tackles, compliance to HSE
standards and contract deliverables during the contract period.
o Escalates the matter of serious concern to the relevant authority.
o Initiate closure process at par with this standard.

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05. Process:
The standard has been divided into following five phases for the entire contract life
cycle to meet the objective of the standard through various minimum requirements.

1. Identification: This phase is about contractor management. The phase clearly


demands objective evaluation of contractors on health, safety and environmental
aspects interested to do the business with HZL, while fulfilling all the HSE
requirements set by various HZL standards.
2. Planning: This phase sets the ground for contract on which job / contract specific
requirements are communicated. This helps in making final contracts.
3. Mobilisation: This phase demands process to be followed ‘during and post’
finalisation of the contract. This includes planning of the jobs and training of the
personnel.
4. Execution: This phase sets the expectations to be fulfilled during the contract.
This includes periodical audits, compliance tracking and review.
5. Closure: This phase defines the process to be followed to have clean exit. This
includes final HSE audits, risk assessment, CAPA compliance and updation of
pre-qualification.

Figure 3 CSM Process - Phases gives overview of the all the phases. Detailed
requirements are elaborated in subsequent sections.

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Figure 3 CSM Process - Phases

5.1 Identifications (Pre-Qualifications):


This phase defines the unified approach to identify and assess the contractors on their
ability to manage HSE obligations during the contract period, collectively with HZL.
This shall be addressed through a well-defined questionnaire called “Pre-Qualification”
(also known as PQ) as per Annexure-1. The process is designed to evaluate the
potential or current contractor on Health, Safety and Environment (HSE)
performance aspects only. Contractor exceeding the threshold level of 75%, shall
only be given contract to fulfil the requirements, where the standard is applicable as
defined in Standard’s Scope. In the case of exception, variance process shall be
followed.
The PQ Assessment shall be done by Cross Functional Pre-Qualification (CFPQ) Team
to validate the submissions. Upon validation and approval, Contract Custodian
Manager shall update the record of PQ approved contractor in his/her function.
The PQ evaluated by any CFPQ team shall be valid for all the requirements across HZL
and shall remain valid for 2 years from the date of Final Approval. Valid PQ is required
at the time of awarding a contract. There can be multiple order issued or amended
within the validity period. However, upon expiry of PQ Score, Re-validation process
shall be initiated prior to fresh amendment in existing contract or awarding new
contract.
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There may be the requirements of the re-validation of Pre-Qualification score. This


may be done based on recommendation of the Consequence Management committee
based on investigation reports as well as discussion under “Sameeksha” Program.
It is expected from the Contractor that, they introduce competent sub-contractor
only, hence all the requirements of this standard invariably applies to the sub-
contractors as well.
Pre-Qualification Initiation process is graphically described as in Figure-4 below. The
same process is to be followed for re-validation as well.

Figure 4 Prequalification Initiation Process

CFPQ Team and PQ Validation: Zone Apex Committee Chairman is empowered to


appoint/ change the Cross Functional Pre- Qualification Team at Zone Level; The team
shall be comprising of atleast one competent personnel from the functions, Technical
(Maintenance, Operations, Process, Mining, Admin, Security etc.), Safety, Environment,
Human Resource. The team leader is empowered to introduce up to 3 personnel from
across the organisation based on competency requirements to evaluate the Pre-
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Qualification on case bases. Upon evaluation, these additional members will not be part
of the team. However, they can be re-introduced in the team any time. The process
can be described in Figure 5.

Figure 5 CFPQ Team and PQ Validation

Variance Process: In the event, the contractors tendering for the services or service
and supply both, failed to demonstrate the HSE capability at par with HZL
requirements; HSE Variance can be issued by Contract Administration Manager (CAM)
for a specific service requirement onetime. Here HZL accepts the HSE obligations of
the contractors. The process can be described in Figure 6

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Figure 6 Variance Process

Records: Validated/approved Pre-Qualification form along with documentary evidence


shall be sent to Convener/ Secretary of Zone Contractor Safety Management (CSM)
Committee. Convener/ Secretory of Zone CSM Committee shall send the collected
documents to Convener/ Secretary of Zone Contractor Safety Management (CSM)
Committee. Online System to be developed for centralised repository of valid PQs at
one place.

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5.2 Planning
This section defines the unified approach to ensure all the HSE requirements are fulfilled
by each contractor during the execution of the contract. The section aims to address
following requirements at various phases of contract life cycle. Well defined planning
document reduces the element of surprises during the Execution phase of the
standard.
Defining Contract: This phase covers following requirements
• Scope of the Contract: This shall be prepared by the Contract Manager/service
requisitioner. Scope documents shall be clearly defined with the major activities
to be carried out along with the timelines and measure (Key performance
indicator – KPI) of progress for job/task/activities/milestone. The scope document
may recommend pay-out matrix with fixed and variable component based on
time-period or KPI achievement.
• Resource requirements: This includes human resources, tools and tackles,
materials required to fulfil the jobs. Job Description with minimum qualifications,
roles and responsibility shall be well defined for every critical unique position that
is required to execute the contract safely. Safety check sheets for tools and
tackles, as compliant to SRP- standard rules and procedures, can be shared to
ensure quality of resources are maintained during the contract execution.
• HSE Risk Management: The content shall include major risks involved during
the execution of the contract. This shall also include risk mitigation and control
strategy that contractor must fulfil. Summary of all the standard shall be attached
to keep the interested pre-qualified contractor informed about minimum HSE
requirements at HZL. In some special case, specific requirement shall be explicitly
cited in the scope documents.
• Communications: All the requirements in as mentioned in this section shall be
communicated and informed to interested pre-qualified contractors for
preparation of the bid/ offers/ RFP/ RFQ. General procedures like enabling access
to the online portals, materials/tools entry-exit, personnel gate pass processes
shall be communicated to ensure smooth induction process.
• Service Requisitioner- End user shall ensure all the offers be evaluated on
technical aspects and HSE aspect also. S/He may see the support from the
relevant HSE representatives if required.
• Pre-Bid Meeting: This step includes activities prior to contract finalisation.
Interested pre-qualified contractors shall be called for meeting with all the key

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stakeholders for the contract to understand exact requirements in detail along


with clarification, roles of contractor in Aarohan journey. Apart from commercial
negotiations, Contractors may be taken to the site/ operations/ projects to
understand the actual job. Contractor shall present the resource deployment
strategy/plan to complete the job with stipulated resources and time.
MOM shall be maintained over online meeting portal and circulated up to Contract
Administration Manager along with all the contractors.

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5.3 Mobilisation
The phase is all about post “contract award” activities and includes movement of human
resources and other resources to the site.
• Pre-commencement and Orientation: Once the contracts are awarded, the
chosen contractor must be made aware of site specific HSE expectations of HZL.
This phase demands following process to be followed.
• Contract Manager shall conduct pre-commencement meetings with the
contractor to discuss and explain the site specific and job specific requirements.
The attendance and minutes of the meeting shall be recorded, reviewed as
necessary. Participation may be chosen based on the value, employee strength,
execution period of the contract. Agenda shall include safe execution of the jobs
at site and relevant plans of resource deployment.
• Contractor shall be asked to submit the risk assessment and risk mitigation plan
of key high-risk activity at the beginning. For long term contract they shall be
providing the same in consultation with contract manager and relevant stake
holders.
• Contractor representative shall submit the list of employees/personnel mapped
to the human resource requirements and tools, tackles and consumables as
required in resource requirements to contract manager. This list must be verified
prior to submission to Contract Manager.
• Upon approval from Contract Manager, the contractor representative shall upload
the personnel details to the appropriate platform (e.g. CWMS -Contractor
Workforce Management Systems) to initiate process of “gate entry”.
• Relevant Zone HR representative shall validate and verify all the relevant
supporting documents and evidence against each personnel seeking gate entry
under various category of the gate pass issued as per HR Guidelines.
• Each personnel in the supervisory and above position shall be interviewed to
assess the knowledge and skills by competent HZL panel (Competent HZL panel
or Nominated panel shall be formed by Contract Administration Manager).
Suitable online platform to be used
• Each personnel in technical trades (below supervisor level up to semi-skilled
personnel) shall demonstrate his/her skills through written tests and/or practical
tests. Respective CM to ensure this activity for which online system must be in
place.

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• Qualified personnel shall be given site specific induction trainings on HZL


standards. This training includes Level-1 trainings as in the Annexure-5 Induction
/ Refresher training topics
• Upon approvals at all levels in CWMS, Gate-passes are issued to all the personnel
as per list.
• Other resources like tool and tackles, vehicles, administrative equipments,
furniture can be allowed as per directives from SRP subcommittee after inspection
and necessary testing/ checking against the standard checklist. Contract manager
shall provide the comprehensive checklist to the Contractor counterpart to ease
the process. For more details on audits and input checks refer Annexure 7: Tools
and tackles Audit.
• Contract Manager must ensure the relevant communications are made to the key
stakeholders like security, administrations for necessary basic facilities like
drinking water, snacks and canteen facilities, washrooms, employee’s in-out
management etc.
• Contract Manager shall conduct atleast one contractor field safety audit (CFSA)
to highlight the safety violations during the mobilisation phase.
• The phase continues until 80% of total required resources are mobilised at the
site as per 5.2 Planning phase. However, there is no any thin line between this
step and next step. Contract Manager shall move to the next step at the earliest.
• Contract manager must raise the flags to CAM, CCM as and when required, upon
any unwanted delay in resource mobilisation against the commitment.

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5.4 Execution:
This phase ensures safe execution of the technical jobs at par with HZL standard. The
phase demands continuous monitoring of jobs performed by the contract employees.
To ensure HSE obligations are being fulfilled and risks associated with the type of work
being done are effectively managed, both HZL and the Contractor will need to establish
suitable processes to identify, monitor and assess the practices being applied during
this phase.
HZL representative shall assist the Contract employees to comply with all relevant HSE
standards laid down at the Zones.
Contract Manager shall provide
1. Necessary formats of different types of work permits,
2. Necessary formats of different types of check lists for tools, tackles and vehicle
audits along with frequency of checks.
3. Access to various online HSE platforms along with demo usage.
4. Information on Grievance redressal mechanism and escalation matrix.
5. Hands on support for initial few cycles to follow and fulfil the requirements of the
various HZL standards.

Contract Manager shall be responsible to track the HSE performance of the contractor
apart from the contract deliverables.
Periodical Evaluation Scorecard: Contract manager shall ensure deliverables are
tracked along with Contractor’s HSE performance. Scorecard is one of the tools to track
the performance. User may use the following process flow map (Figure 7) to decide,
which format is to be used for various scorecards. The scorecard shall be attached with
every invoice raised by the contractor.

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Figure 7 Scorecard Selection Procedure

User may use following process flow map (Figure 8) to ensure the things are
approved at appropriate level

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Figure 8 Scorecard Approval Workflow

Apart from Scorecards, Contract Manager are empowered with following other tools to
capture and track the performance of the contractor on HSE aspect.

1. Contractor Field Safety Audit (CFSA): as per CFSA Guidelines Corp CSM 2020-
21 002 CFSA Guidelines

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2. Tools and Tackles Audits: as per Annexure- 7


3. HSE Management reviews: As per Annexure- 8
4. Sameeksha Program: As per Annexure- 9
5. Incentive Penalty Scheme: As per Annexure-11
Contract manager shall publish monthly HSE performance of the contractor on
participation on HSE initiative through a statistic on SI, CFSA, IM, SRP and PSM
standard along with good initiatives like participation in Safety improvement project,
Kaizens etc.
The phase continues until the PO/WO value and/ or validity are about to expire (ideally
two months prior to the expiry).

5.5 Evaluation and Closure:


The Contract closeout and review phase aims to establish a consistent process by
which contractors are evaluated on their HSE performance to determine if the
contractor should be retained as an Approved Contractor.

Figure 9 Closure Form Selection

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Figure 10 Contract Closure


Approval Workflow

The contract
manager shall
initiate formal
contract closure
process atleast two
months prior to the
expiry of the
contract due to
value and/ or
validity.
Contractor shall be
asked to submit the
resource revocation
plan along with
planning to close all
the HSE related
punch points that
could emerge as
hazard after the
resource revocation.
Contract manager
shall evaluate the
contractor
performance on
both HSE and
Technical aspects
using the format as in the Annexure-10. User may refer the Figure-9 for closure form
formats selection and Figure-10 for Closure form approval workflow.
The contract manager shall retain all the documents and records of entire contractor
life cycle for future reference and relevant audits.

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References:
This section will be updated regularly atleast once in a year. However, users of this
standard are advised to refer the latest standard/ rules/ acts wherever applicable.

List of applicable standards


1. All applicable statutory/ legal/ regulatory requirements
2. All organisational policies and standards: Vedanta and Hindustan Zinc
3. Contract Labour (Regulation & Abolition) Act,1970
4. Applicable IS Standards
5. Integrated Management Systems (IMS)
6. Vedanta guidelines on Construction and Safety management
7. Factories Act 1948
8. Mines Act, Rules, Regulation and DGMS circulars
9. Indian Explosive Act
10. Indian Electricity Act and Rules 2003.
11. Indian Boiler Act 1923
12. AERB Guidelines
13. Air (Prevention &control of Pollution) Act ,1981
14. The Environmental (Protection) Act 1986
15. The Hazardous Waste (Management, Handling & Trans boundary Movement)
Rules, 2008
16. Manufacture Storage & Import of Hazardous Chemical Rules,1989
17. Battery (Management & Handling) Rules 2000, 2001, 2010
18. Noise Pollution (Regulations and Control) Rules 2000,2002,2005 Section 3
19. E-waste Management and Handling Rules 2011 Rules 6
20. The Petroleum Act, 1934 & Rule 1976
21. The Gas cylinder Rule, 1981, 2004
22. Motor Vehicle Act, 1939, Central Motor Vehicle Rules 1989
23. Radiation Protection Rules, 1971

Annexure-1: Pre – Qualification Format


Refer Corp CSM 2020-21 001 PQ Scorecard and Guidelines

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Annexure-2: Pre- Qualification Evaluation Guidelines and Format


Refer Corp CSM 2020-21 001 PQ Scorecard and Guidelines

Annexure-3: Pre-Qualification Variance Format


Refer Corp CSM 2020-21 003 HSE Variance Format

Annexure-4: Planning Document Format


Refer Corp CSM 2020-21 004 Planning Documents Requirements

Annexure-5: Induction / Refresher Training Topics


A well-thought-out induction program is one of the most effective and efficient ways to
bring new team members up to speed on a whole range of HZL policies and safety
standard. Employees irrespective of employment by HZL or Contractor, must be aware
of various risks and hazards. Following minimum topics are to be covered under various
level of induction and refresher training program. Based on job scope, trainings are
covered at four difference levels. These training includes awareness, detailed and
exhaustive, advanced and information communication types based on depth of the
information being communicated and explained.
• Level-1: Site Specific Induction Training Program.
This is mandatory safety induction training for all contractor personnel before they
receive the entry pass. Key intent of this training course is to make all contractor
personnel aware about basic safety rules of HZL. This also includes information about
emergency escape and response.
The duration of this training will be at par with legal and statutory requirements as
well as site safety requirements as prepared in scope documents during 5.2 Planning
phase. The training shall include written and/or verbal validation. Models/ pictorial
items/ photographs of unsafe act/ conditions/ PPE / safety signage and best practices
should be used for training all workers. It is recommended to have a batch size not
exceeding 20 participants for effective training. HSE/VTC department shall maintain
attendance cum training record for plants & mines respectively.

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Thereafter refresher induction training shall be provided as per either legal or


statutory requirements or Zone Apex Committee chairman may reduce the time span
for the refresher.
Typical content of this course will be based on site specific basic safety rules for
contractors and employees. Minimum topics to be covered are as under; Zone
Management may add topics further as required.

Minimum training requirements for O&M Employees


Nos Levels Mines Specific Smelter/CPP Specific
1 Safety Concept Safety Concept
2 Safety Vision Safety Vision
3 HSE Policy HSE Policy
4 Do's and Don’ts Do's and Don’ts
5 LSR & Videos LSR & Videos
6 Basic Induction Site Safety Rules Site Safety Rules
7 Training Incident Reporting Incident Reporting
8 Hazardous activities Hazardous activities
9 Work Permits Work Permits
10 Safety Standards Safety Standards
11 Emergency Plan Emergency Plan
12 Fire training Fire training
13 Work at Height Work at Height
14 LOTO LOTO
15 Chem Handling Conf Space
16 Mandatory Training GESM Chem Handling
17 FOG-GSMP Hot Metal Handling
18 Man-Machine Interaction
19 Self Rescuer
20 Trade Tests Trade Tests
21 Scaffoldings Scaffoldings
As decided by
22 Vehicle and Driving Vehicle and Driving
Contract Manager
23 Lifting and Shifting Lifting and Shifting
(CM)
24 Excavation Excavation
25 Machine Guarding Machine Guarding

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• Level-2: Site Specific Safety Procedures/ Rules Training


This is mandatory safety training for all the job/safety supervisors.
This shall be a one-day training module, specifically designed for contractor supervisors.
This training programme shall be organized and planned by safety department every
month upon confirmation from SRP. Numbers of programme per month, may be one,
two or more, will be decided based on the nominations.
Typical module of this course shall be:
- Refreshers on site basic safety rules
- Important Legal Requirements pertaining to HSE
- Work Permit Procedure
- Risk assessment
- PPE (Selection, use, maintenance and replacement)
- Incident Reporting and Investigation Procedure
- Emergency & evacuation procedure
- Practical demonstration as required on use of fire extinguishers, hose handling,
SCB, Case Studies, etc.
• Level-3: Department Specific Procedures Training
This is a department specific safety training and essential for all those working in that
Department. Line manager has to ensure compliance towards this. For example,
contractor personnel including their work force, intended to work in Roaster Furnace/
SKS Furnace/ Crusher/ LPDT, shall undergo safety induction training specific to
Roaster Furnace/ SKS Furnace/ Crusher/ LPDT operation.
These trainings encompass:
- Identification of critical jobs/activities done in the respective departments/ areas
- Identifying job specific SOP and SMP training needs for contractors’ personnel.
- Ensuring that they are trained before mobilization to site.
- Job specific safety module of procedures for all identified. e.g. high-risk jobs/
activities such as electrical safety, hot work (welding/ gas cutting/ grinding)
safety, scaffolding safety, safety in confined space entry, work at height etc.
Contractor shall nominate relevant employees for safety trainings organized by HZL
This job specific safety training is in addition to the trade test. Contract Manager shall
be responsible for organizing department level safety induction training. He shall
ensure that all the contractors working in his area have undergone these training
before they can work at site. The validated contractor persons shall be identified by
his/ her online passport card. Records of this training attendance and result of

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validations shall be maintained by HSE. This training shall be valid as per directives of
SRP subcommittee.
• Level-4: Job Specific Toolbox Talks
Contractor job supervisors shall conduct toolbox talk to working crew to make them
aware of site/ department/ job specific risks and precautions to be followed. This is
one of the effective tools to impart on-the-job training and communicate hazard
information.
S/He shall conduct toolbox talks in two categories:
- Periodic Toolbox (Theme Based) Talks shall be organized on common and
trade specific safety topics on weekly basis. This shall be so organized that all
workforce is uniformly covered by all the topics. All supervisors must be
involved in imparting the toolbox talks. This is followed by schedule and
necessary records of attendance of participants.
- Job specific toolbox talks shall be conducted to working crew before start of
each job. The job supervisor shall first understand job specific safety risks and
precautions from HZL engineer or work permit acceptor. He must explain work
permit and or risk assessment requirements to working crew in a language they
understand. In case of doubt, contractor supervisor must seek assistance from
work permit acceptor or his immediate HZL representative. Record of job
specific toolbox talks is recommended to be maintained.

Annexure-6: HSE Scorecards


Refer Corp CSM Doc No 2020-21 006 – HSE Gemba Scorecard.

Annexure-7: Tools and Tackles Audit/ Facility Audit


Tools and tackles are integral part of the contract and plays vital role in the safety of
every person working at job. Usage of right tools at right place only ensures the safe
execution of the job. Though Contractors are fulfilling the tools requirements, Contract
manager must ensure quality of tools and tackles are maintained at par with HZL
standard. While ensuring availability and quality of the tools and tackles; It is also
necessary to test and calibrate various load bearing tools like chain pulleys, hooks,
Slings etc., testing kits like multi-meter, meggers, analysers, special purpose vehicles
etc. for their performance within range as well as statutory compliance.

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A systematic tools audit must be scheduled atleast once in a quarter, having maker and
checker interlock with comprehensive checklist of each tools with the aim of ensuring
compliance to tools and tackles inventory, quality and statutory compliance.
Every tools/ tackle/ vehicle, before they are allowed inside the plant must get checked
against the standard checklist. These checks may be done through Contract Manager
and/ or nominated HZL employees. Certain checks can be validated through a right
testing/ Quality Assurance certificate.
There shall be defined red-tag corner for all defective tools and tackles with proper
access control to ensure no defective tools are used by any of the employee.
There is no restriction of auditing the available tools and tackles during other program.
Contract Manager shall collect the applicable audit checklists from the respective SRP
champions at the Zones.
Refer Corp CSM 2020-21 007 Facility Audit Format

Annexure-8: HSE Management review


Zone Apex committee shall ensure, contractors are reviewed atleast once in a quarter
by Contract Administration Manager and/ or Contract Custodian Manager. The
frequency for key O&M / Project contractors shall be once in a month (refer Figure 7:
The contractors where Project Specific Scorecard and HSE Gemba Scorecard are
applicable are considered as key O&M / Project Contractors). The review may be one
to one or as decided by Zone Management.
The review shall be focussed on HSE Performance and Overall performance. Zone Apex
Committee shall also listen to the concerns/ challenges/ grievances raised by the
contractors and shall resolve the same, possibly a win-win way. Rest of the cases may
be escalated to the appropriate level with set targets on resolutions.
Zone Apex Committee shall decide the formats of reviews and shall note-down minutes
at HZL-One meeting application.

Annexure-9: Sameeksha Program


Refer Corp CSM 2020-21 009 Sameeksha Review Format

Annexure-10: Contract Closure Evaluation Form


Refer Corp CSM 2020-21 010 Contract Closure Evaluation Review Format

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Annexure-11: Incentive Penalty Scheme


Refer Corp CSM 2020-21 011A Incentive Penalty Scheme
Refer Corp CSM 2020-21 011B Incentive Penalty Scheme

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Corp CSM 2020‐21 001 PQ Scorecard and Guidelines 04‐06‐2021

Basic Details Date: 
Name: As per HZL Database

HZL Vendor Code: As per HZL Database

Address: As per HZL Database

Website: Website address

Email Address As per HZL Database

Phone no As per HZL Database

Key Contact Person‐1 Name of CXO (and above) Key Contact Person‐2 Name of CXO (and above)

Designation Designation of Key Contact Person‐1 Designation Designation of Key Contact Person‐2

Phone No Phone no of Key Contact Person‐1 Phone No Phone no of Key Contact Person‐2

Work Experience
With Hindustan Zinc Limited With Vedanta Group Other Organisations

Project Numbers in Years Numbers in Years Numbers in Years

O&M Numbers in Years Numbers in Years Numbers in Years

AMC Numbers in Years Numbers in Years Numbers in Years

Support Function Numbers in Years Numbers in Years Numbers in Years

Active Sites Pl specifiy the sites if any. Pl specifiy the sites if any. Pl specifiy the sites if any.

Work Order no. If worked with HZL‐ NA otherwise NA NA

Job Profile: Enter key word e.g. Mech Maintenance, Operations of Sinters, Commissioning

Organisation Charts (Organogram to be attached)
Roles Minimum Qualifications No of Unique Positions  No of Employees

Sr Managements Texts Numbers Numbers

Middle Management Texts Numbers Numbers

Supervisors Texts Numbers Numbers

Workers ‐ Skilled Texts Numbers Numbers

Workers ‐ Semi skilles Texts Numbers Numbers

Workers ‐ Unskilled Texts Numbers Numbers

Subcontracts No of Subcontracts Indirect Employees Total Indirect employees

Performance in Safety (Last 3 FY) Trend of 3 year on annual bases to be added starting with Current FY
Fatalities Numbers e.g. 0‐2‐1 (1 is for current FY) Lost Time Injuries Numbers e.g. 0‐2‐1 (1 is for current FY)

Medical Treatment Injuries Numbers e.g. 0‐2‐1 (1 is for current FY) First Aid Injuries Numbers e.g. 0‐2‐1 (1 is for current FY)

Disabling Injuries Numbers e.g. 0‐2‐1 (1 is for current FY) Nearmiss Reported Numbers e.g. 0‐2‐1 (1 is for current FY)

Property Damage case Numbers e.g. 0‐2‐1 (1 is for current FY) Manhours worked Numbers e.g. 0‐2‐1 (1 is for current FY)

LTIFR Numbers e.g. 0‐2‐1 (1 is for current FY) Last Fatality/ies Date and numbers

Global / National Recognitions (for last 12 months)

Page 1 of 2
Corp CSM 2020‐21 001 PQ Scorecard and Guidelines 04‐06‐2021

IMS Certifications Details of IMS certifcation Customer Recognition Special Achievementsat Customer Site

Awards Global / national awards Other Details Specific Achivement if any

Evaluation Aspects
Attributes Self Evaluation CFPQ Team Evaluation Final Evaluations

General OH&S, Environment Requirements (10%) 10% Plant and Equipments (15%) 15%


Induction and Training (5%) 5% Incident management (15%) 13%
Sub‐contractor management (5%) 5% Safe Work Methods and Standards (10%) 10%
Health Monitoring (10%) 0% Hazard Management (10%) 10%
Employee Welfare (10%) 10% Global Policies (10%) 10%
Total  88%

Other Informations
Other relevant informations to endors your capabilities to work effectively on OH&S; Please specify

Declaration
We are commited to safety of the our employees  and employees employed by us under sub contractors. We here by declare that we will adhere to the guidelines and policy laid by the HZL during the 
activities with in HZL and wherever working on behalf of HZL.

Place

Date Name & Sign of Competent Authority (Sr Management)

Designation

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Corp CSM 2020‐21 001 PQ Scorecard and Guidelines 04‐06‐2021

Annexure‐1

A General OH&S, Environment Systems 10% 10.00%


Requirements Response Name/ID of Reference Document attached
1 Does your organization have a written health and safety policy? No‐Go NA
2 Does your organization have a written Environmental policy? No‐Go Yes
3 Does your organization have a written cardinal rules/ life saving rules including drug and alcohol ? Yes
Organisation has taken atleast one significant green initiative including procurement (once in six months)  
4 per site. Green Initiative may be in Water, Energy, Waste Reduction etc.  Yes
5 No of Injuries in reducing for last 4 quarter Yes
6 Does your organization have a written people development policy? Yes
7 Does your organization have a Employee welfare  policy and Reward / Recognition schemes? Yes

B Induction and Training 5% 5.00%
Requirements Response Name/ID of Reference Document attached
Does the written OH&S induction program include instruction on the following: Keep Blank Keep Blank
1 All elements of your written HSE Plan and policy Yes
2 Job specific Legal and Statutory compliance Yes
3 Tool box talk / meetings Yes
4 Emergency procedures Yes
5 First Aid facilities + No of First Aid Trainings Yes
6 Accident / Incident investigation Yes
7 Job hazard analysis techniques such as HIRA & risk mitigation plan Yes
8 Fire prevention/protection Yes
9 Worker Safety Meetings and Resolution of safety issues Yes
10 Role specific safety responsibilities Yes

C Sub Contractor Management 5% 5.00%
Requirements Response Name/ID of Reference Document attached
1 Does your organization have a process to determine the OH&S capability of sub‐contractors? No‐Go Yes
2 Does your organization promotes local procurement and local employement NA
3 Is the performance of sub‐contractors monitored for the job being undertaken? NA

D Health Monitoring 10% 0.00%


Requirements Response Name/ID of Reference Document attached
Does your organization have a system in place to monitor the health of employees with regard to any 
1 hazards they may be exposed to? Yes
If “yes”, what is the frequency of your health‐monitoring program? Is your Periodic Medical Examination 
2 complying to the statutory requirements.  No‐Go NA

E Employee Welfare 10% 10.00%


Requirements Response Name/ID of Reference Document attached
1 Do you have WC/ ESIC/ Group Insurance and PF for all the employees No‐Go Yes
2 Do you have professional indemnity insurance for Expats and Consultants if any? Yes
3 Do you have motor vehicle insurance? Yes

F Plant and Equipment Management 15% 15.00%


Requirements Response Name/ID of Reference Document attached
When using plant and equipment either owned by you, provided to you by HZL, or from any other party  Evidence on written procedures to comply the 
(leased, hired, borrowed etc) do you have systems in place to ensure‐ Keep Blank requirements
1 All plant/equipment are fitted with safety equipment as prescribed by legislation e.g. machine guards No‐Go Yes
2 Plant and equipment is fit to be used for the purpose you intend. Yes
3 Your employees who are to operate the plant and equipment are trained in its safe use Yes
4 Your employees have the correct licenses and/or certificates to operate the plant and equipment? No‐Go Yes
Does your Organization have in operation a method or system for recording regular inspections and 
maintenance of hand tools, machinery (cranes, vehicles, boom lifts, hoists/lifting tools, etc) and electrically 
operated equipment, including periodic calibration and load test by accredited third party? If so attach 
5 summary and the relavant evidence. Yes

G Incident Management 15% 12.50%


Requirements Response Name/ID of Reference Document attached

1 Does your organization have an accident/incident reporting system?  Reporting of Unsafe Acts & Conditions No
2 Does your organization have an accident/incident investigation process? Yes
3 Does your organization have a system to report incidents/accidents to the principal they are working for? Yes
4 Has your organization been prosecuted for an OH&S breach? (Yes ‐ if never | No if ever) Yes
5 Compliance to Recommendations of Fatalities / LTI / High Potential Incidents Yes
6 Compliance to HZL recommendations on Faatality/LTI/High Potential (if worked with HZL earlier) Yes

H Safe Work Methods and Standards 10% 10.00%


Requirements Response Name/ID of Reference Document attached
When working on the following services does your organization have and follow safe work procedures  or 
standards (at par with HZL) for Keep Blank Keep Blank
1 Fall protection / Work at Height Yes
2 Personal Protective Equipments (PPE) Standards : Standard PPE / Job Specific PPE Yes
3 Permit to Work Yes
4 Chemical and Toxic substance Handling Yes
Waste Management (Environmental Conservation): Procurement, Hanndling, Storgae and Disposal; Inline 
5 with prevailing rules and regulations. Yes
6 Moltern Metal Handling NA
7 Machine Guarding NA
8 Fall of Ground NA
9 Dump Pile Management  NA
10 Vehicle and Driving NA
11 Scaffolding/working platform NA
12 Floor/wall/roof openings guards NA
13 Mobile equipment safety NA
14 5S and Housekeeping NA
15 Fire protection NA
16 Trenching/excavation NA

Page 1 of 2
Corp CSM 2020‐21 001 PQ Scorecard and Guidelines 04‐06‐2021

17 Signs, barricades, flagging NA
18 Electrical safety / Instrument safery NA
19 Rigging/crane safety NA
20 Confined Space entry and working NA
21 Welding/Hotwork permit procedures NA
22 Synthetic fiber handling procedures NA
23 Lockout/tag out procedures NA
24 Manual handling  NA
25 Compressed gases/gas cylinders NA
26 Other – Please attach summary and explain NA

I Hazard Management 10% 10.00%


Requirements Response Name/ID of Reference Document attached
1 Does your organization have written ‘Safety Management Plan’? Yes
Does your organization have process to systematically identify and control significant hazards in the place of 
2 work? Yes
3 Does your organization have a system to record, review hazards and controls? Yes
Does your organization have a system to advise HZL of any hazards you will bring to or create in the place of
4 work? (MSDS and SOP for the hazardous material )  No‐Go Yes

J Global Policies 10% 10.00%


Requirements Response Name/ID of Reference Document attached
1 Does your Organization have the written documents on Ethics and Human Rights? No Go Yes
2 Does your Organization have the committee formulated to ensure the compliance to above policy? Yes
3 Have Child Labour/HIV‐AIDS related policy, Prevention of Sexual harassment policy ? No Go Yes
4 Does your Organization have the committee formulated to ensure the compliance to above policy? Yes

5 Modern Slavery Act (MSA): Does the organisation have the written document or policy in accordance to MSA Yes
6 CAPA Compliance of above cases attached ? (if more than 90% then Yes) Yes

Page 2 of 2
Guidelines Expectations Evaluations

A General OH&S, Environment Systems
Requirements
1 Does your organization have a written health and safety policy?
2 Does your organization have a written Environmental policy? Attach latest  well defined written committement towards Health, Safety  Check if the policies are at par with HZL EHS policies without any 
Does your organization have a written cardinal rules/ life saving rules  and Environment. conflicts.
3 including drug and alcohol ?
Organisation has taken atleast one significant green initiative including 
procurement (once in six months)  per site. Green Initiative may be in  Attach the details of improvement project taken under green initiative  Check the actions are sustainable and there is improvement in KPI for 
4 Water, Energy, Waste Reduction etc.  by the organisation; Show major actions and KPI trends;  atleast 3 months.
5 No of Injuries in reducing for last 4 quarter Injuries include First Aid cases and more severe atleast 2 points in decreasing trend consecutively
6 Does your organization have a written people development policy?
Does your organization have a Employee welfare  policy and Reward /  same as A1, A2, A3 same as A1, A2, A3
7 Recognition schemes?

B Induction and Training
Requirements
Does the written OH&S induction program include instruction on the 
following:
1 All elements of your written HSE Plan and policy
2 Job specific Legal and Statutory compliance
3 Tool box talk / meetings
4 Emergency procedures
Verify if all the aspects are covered under the induction program.  there 
5 First Aid facilities + No of First Aid Trainings Organisation to share their employee induction plan/schedule.
is sufficient time slots alloted against each topics. If required ask for 
6 Accident / Incident investigation Objective is to have employees aware of the industrial risks and hazards. 
induction manual as well.
7 Job hazard analysis techniques such as HIRA & risk mitigation plan
8 Fire prevention/protection
9 Worker Safety Meetings and Resolution of safety issues
10 Role specific safety responsibilities

C Sub Contractor Management
Requirements
Does your organization have a process to determine the OH&S capability  Attach the process of evaluation on OH&S for outsourcing partners (for  Check and verify the selection parameter and weightage of OH&S 
1 of sub‐contractors?  services only) aspects in their selection criteria.
Does your organization promotes local procurement and local  Attach the summary of local procurements at your other project site/  Check the %age of local procurement / employement; It should be more 
2 employement policy documents than 40%
Is the performance of sub‐contractors monitored for the job being  Check the scorecard or relevant document to verify the process of 
3 undertaken? Share the evaluation parameter on performance of outsourcing partners performance measurement.

D Health Monitoring
Requirements
Does your organization have a system in place to monitor the health of 
1 employees with regard to any hazards they may be exposed to? Check the compliance > 90%
If “yes”, what is the frequency of your health‐monitoring program? Is  Share the practices and compliance against the requirements;
your Periodic Medical Examination complying to the statutory  Check the compliance against statutory requirements ; Zero non‐
2 requirements.  compliance

E Employee Welfare
Requirements
1 Do you have WC/ ESIC/ Group Insurance and PF for all the employees
Do you have professional indemnity insurance for Expats and 
All statutory compliance releted  documents to be attached Verify for its validity and if required validate.
2 Consultants if any?
3 Do you have motor vehicle insurance?

F Plant and Equipment Management
Requirements
When using plant and equipment either owned by you, provided to 
you by HZL, or from any other party (leased, hired, borrowed etc) do 
you have systems in place to ensure‐
All plant/equipment are fitted with safety equipment as prescribed by 
1 legislation e.g. machine guards
2 Plant and equipment is fit to be used for the purpose you intend.
Your employees who are to operate the plant and equipment are trained 
3 in its safe use.
Your employees have the correct licenses and/or certificates to operate  Share the relevant tools and tackles calibrations schedules, checksheets 
check if check sheets are  at par with HZL standard; or having systems to 
4 the plant and equipment? and standards.
ensure the same.
Employees are having required certificates to conduct the relevant job.
Does your Organization have in operation a method or system for 
recording regular inspections and maintenance of hand tools, machinery 
(cranes, vehicles, boom lifts, hoists/lifting tools, etc) and electrically 
operated equipment, including periodic calibration and load test by 
5 accredited third party? If so attach summary and the relavant evidence.

G Incident Management
Requirements
Does your organization have an accident/incident reporting system?  
1 Reporting of Unsafe Acts & Conditions

2 Does your organization have an accident/incident investigation process?
Does your organization have a system to report incidents/accidents to 
3 the principal they are working for?  Share the investigation reports for latest 2‐3 incidents; their CAPA, its  Check the quality of analysis and compliance; ensure 95% compliance to 
Has your organization been prosecuted for an OH&S breach? (Yes ‐ if  compliance and effectiveness the requirment.
4 never | No if ever)
Compliance to Recommendations of Fatalities / LTI / High Potential 
5 Incidents
Compliance to HZL recommendations on Faatality/LTI/High Potential (if 
6 worked with HZL earlier)

H Safe Work Methods and Standards
Requirements

When working on the following services does your organization have 
and follow safe work procedures  or standards (at par with HZL) for
1 Fall protection / Work at Height
Personal Protective Equipments (PPE) Standards : Standard PPE / Job 
2 Specific PPE
3 Permit to Work
4 Chemical and Toxic substance Handling
Waste Management (Environmental Conservation): Procurement, 
Hanndling, Storgae and Disposal; Inline with prevailing rules and 
5 regulations.
6 Moltern Metal Handling
7 Machine Guarding
8 Fall of Ground
9 Dump Pile Management 
10 Vehicle and Driving
11 Scaffolding/working platform
12 Floor/wall/roof openings guards Attach SOP copy for verification verify SOP for its availability and sufficiency.
13 Mobile equipment safety
14 5S and Housekeeping
15 Fire protection
16 Trenching/excavation
17 Signs, barricades, flagging
18 Electrical safety / Instrument safery
19 Rigging/crane safety
20 Confined Space entry and working
21 Welding/Hotwork permit procedures
22 Synthetic fiber handling procedures
23 Lockout/tag out procedures
24 Manual handling 
25 Compressed gases/gas cylinders
26 Other – Please attach summary and explain

I Hazard Management
Requirements
1 Does your organization have written ‘Safety Management Plan’?
Does your organization have process to systematically identify and 
2 control significant hazards in the place of work?
Does your organization have a system to record, review hazards and  Attach the relevant document for Hazard Management releated to  type  Verification with the loaction specific materials and hazards being 
3 controls? of work being executed handled
Does your organization have a system to advise HZL of any hazards you 
will bring to or create in the place of work? (MSDS and SOP for the 
4 hazardous material ) 

J Global Policies
Requirements
Does your Organization have the written documents on Ethics and 
1 Human Rights?
Does your Organization have the committee formulated to ensure the 
2 compliance to above policy?
Have Child Labour/HIV‐AIDS related policy, Prevention of Sexual 
3 harassment policy ? Share all the documents and non‐compliance instances; CAPA status and 
Verify the documents, its  compliance and  validate if required.
Does your Organization have the committee formulated to ensure the  its compliance
4 compliance to above policy?
Modern Slavery Act (MSA): Does the organisation have the written 
5 document or policy in accordance to MSA

6 CAPA Compliance of above cases attached ? (if more than 90% then Yes)
Corp CSM 2020‐21 004 Planning Documents Requirements 04‐06‐2021

RACI Matrix - Contractor Safety Management Rev-1

Concerned Process SPC (HR, Secu

Contractor Representative ‐ CXO

Contractor Representative ‐ SPC
Contractor Custodian Manager

Zone CSM Committee ‐ Sec.

Corp CSM Committee ‐ Sec.
Commercial representative

Contractor Representative
Safety Officer ‐ Contractor
Contract Admin. Manager

Concerned HZL Employee

Contractor Site Incharge

Head HSE ‐ Contractor
CFPQ Team Leader

Safety Office ‐ HZL
Contract Manager

Head Commercial
Activity | Roles

Head HSE ‐ HZL

Contract SPC
R ‐ Responsible: Completes the activity.
A ‐ Accountable: Supports and Defend the activity.
C ‐ Consult: Approves the activity before it begins.
# I ‐ Inform: Aware of the progress of the activity.
1 Screening
1.01 Defining Pre‐Qualification (PQ) Requirements (including Regular update) I I I A R A A
1.02 Exploring new contractor R I A R
1.03 Sharing the Pre‐Qualification to the contractor I R I C R I
1.04 Fill and submit the Pre‐Qualification I A A I I A C R
1.05 Formation of CFPQ Team and defining its validity C A R I A I
1.06 Validate the Pre_Qualification ‐ Documents C I A A R A I
1.07 Validate the Pre_Qualification ‐ Fields (Site Visit of the Contractor) C I A A I I R I A
1.08 Finalise the PQ scores A I R
1.09 Approve the final PQ scores R I I I I I A I I I I
1.1 Pre‐Qualification revision I I I A R A C
2 Planning
2.01 Defining the scope and boudaries of the job C A I R
2.02 Identifying key risks and control ‐ mitigation plan A I R A
2.03 Enlist key human resource requirements A I R
2.04 Enlist key special and common  tools, tackles requirements A I R
2.05 Enlist KPI on HSE for the jobs. A I R A
2.06 Technical Evaluation of the requirements A I R
2.07 HSE Evaluation of the requirements C I A R
2.08 Final Technical Communication Dossier ‐ RFQ C A I R I I
2.09 Final HSE Communication Dossier ‐ RFQ C A I R I I R I
2.1 Communication to interested contractor I A C R I
2.11 Technical Evaluation of the offers/RFQ submitted A I R I I
2.12 HSE Evaluation of the offers/RFQ submitted C I A I I R
2.13 PQ Variance Process (if required) C R R A I A I I I I
3 Induction (Mobilisation)
3.01 Pre‐Contract finalisation meeting with Interested Contractors C A R I R A R R I
3.02 Contract Award A I I I C R I
3.03 Pre‐deployment site HSE Risk assessment I I R I A I A A A I
3.04 Resource mobilisation C I A I A R I I I
3.04a Technical Screening of Human Resource
3.04b Statutory screening of Human Resources
3.04c Skill / Educational validation screening of Human Resources
3.04d Tools and tackles evalution at site
3.05 Induction Training and Awareness I A R I R A
3.06 Tools and tackles deployment at site I A R I R A
3.07 Special Instruction incase of variance to follow I A I I I R A
4 Execution

Page 1 of 2
Corp CSM 2020‐21 004 Planning Documents Requirements 04‐06‐2021

4.01 HSE Audit on Pre‐Qualification assurance. C I R A I A A
4.02 Schedule Field Safety Audit‐ CFSA (atleast weekly) I R I A
4.03 Schedule Tools audit (on adequacy and quality) I R A I
4.04 Review service and safety performance I R A I A A A I
4.05 Payments, Penalty and Incentives I R A I A I A A I
4.06 Improvement action plan compliance I R A I A A A I
4.07 Initiate pre‐mature closure for severe non‐compliace I R A I A I I A A A
5 Closure
5.01 Relevant Documents and records hand‐over I R I I A R I
5.02 Resource revocation schedule I A I R I
5.03 Closure ‐ site HSE Risk assessment C A R I C R A R R I
5.04 Review of Pre‐Post Site HSE Risk assessment, Improvement plan C A R I C R A R R I
5.05 Update Pre‐Qualification (PQ) Score. C A R I R A R R I
5.06 Full and Final Settlements C A R I I I R I I A R R I

Req Notes:
Applicable to long term contracts only; The contracts having regular periodical 
payout  (i.e. Montly, Quarterly, Half Yearly) and  having minimum contract duration 
of 6 months  are considered as long term contracts. This won't include exempted 
4.01 services as defined in the CSM Standard Scope.
4.02 Applicable to all the contractors

Page 2 of 2
Planning Document
The planning documents needs to be filled wherever CSM standard is applicable. For larger project/job, there can be a master scope
sheet supported by multiple sub-projects/job sheets.
Project/ Job Title* Title highlighting the job/project objectives

Main Project Title (if applicable) No of Sub Projects

Brief Discription* Background details on why the project/job is required.

Planning Plant* Unit Name with SAP ID


Zone and UIC*
Estimated Cost in ₹

Planning Team: Roles and responsibilities


Role Name Emp/Gatepass ID Functional Role
Contract Manager (CM)* Enter CM Details
2nd Contract Manager (CM) Optional‐ Contract Manager Delegate‐1
3rd Contract Manager (CM) Optional‐ Contract Manager Delegate‐2
Contract Custodian Manager Enter CCM Details
Contract Admin Manager Enter CAM Details
Unit Safety Officer* Unit Specific Safety Officer ( for HSE Evaluation)
HR Representative
Store Representative

Planning Team Leader* Enter planning team leaders

Planning Team Members

Requirements
Documents Refence No Prepared by Verified by
Technical Requirements Annexure‐1 Technical Requirements
Human Resource Requirements Annexure‐2 HR Requirements
HSE Requirements Annexure‐3 HSE Requirements
Tools and tackles Requirements Annexure‐4 Tools and Tackles
Other Requirements Annexure‐5 Other Requirements

Approvals (Name and sign)


Ref No: e.g. Unit/Dept/MMMYY/XXX

Planning Team Leader Head Operations/Engineering Unit Head


Annexure-1 Technical Requirements
The planning documents needs to be filled wherever CSM standard is applicable. For larger project/job, there can be a master scope sheet supported
by multiple sub-projects/job sheets.

Project/ Job Title* Title highlighting the job/project objectives

Ref No of Main Project Ref Doc No.


Check box
1. Long term O&M (more than 1 year)
2. Long term Project Execution 
3. AMC
Engagement Type 4. Short term projects/ Capex

Milestone Planning
Major Activity Scope: Details of activity with references  Measure of completion or performance 
Step / Milestones (with time duration) (e.g. schematic, drawings, images) along with Minimum expectaion

User need to ealborate all the major milestones along with key major activities with time frames; Measure of completion and performance are also need to defined with the ranges.

Resource Planning
Resources Numbers Specification ‐ Requirements Reference Standard

User need to elaborate all the required resources to perform the job including vehicle including Hydra, Crane and dozer, PPE, tools and tackles, along with standard; List provided here are 
indicative. User may add as many raw as he/she wants.
for each employees along with safety  Set of Mandatory PPE‐ Helmet, Shoes, Goggles, Hand Gloves, 
Safety PPE stock @10% (refer HR Requirements)  Reflective Jacket ‐ Uniform PPE standard

Acid Suit

Arc Flash Suit

Electrical Hand Gloves

Mechanical Tool Box

Electrical Tool Box
Annexure-2 HR Requirements
The planning documents needs to be filled wherever CSM standard is applicable. For larger project/job, there can be a master scope sheet supported by multiple sub-projects/job
sheets.
Project/ Job Title* Title highlighting the job/project objectives
Ref No of Main Project

Resources Worker Service Engineer Consultant / Visitor


Any persons visiting the HZL preminses to guide, how 
to execute the job, but not directly involbved in 
The contract employees who will execute the required job  The contract employees ideally a subject matter expert, who  executing the job. Always accompnied by HZL 
Definitions on their own.  will execute/supervise the job on his/her own  employees in the field
Gate pass validity Till the contract validity Max 3 Days | 1 Year | 2 Year Max 3 days
2 days Exhaustive Mandatory training, 
Work area specific training,
Training Required Job Specific Training 2 hrs | 1 Day | 2 Days 10 Minute, Safety Induction
1. Aadhar Card ‐ Self and Nominees
2. Relevant Education Qualification Certificates.
3. Proof of Date of birth
4. Experience Certificate.
5. Medical Check up Certificate ‐ Designated Hospital 
(Form‐30)
6. Medical Clearance from HZL Medical Staff
7. Work Compensation Policy / ESIC Cards
8. Police Verification Certificate
9. Location Specific Documents
10. Bank account detail (Cancelled Cheque / Passbook  1. Valid Photo ID Card (Govt Approved)
copy) 2. Work Compensation Policy / ESIC Number 1. Valid Photo ID Card (Govt Approved)
11. Recent Color Photograph ‐ 2 nos 3. Valid Passport/ Visa Documents for foreing nationals 2. Valid Passport/ Visa Documents for foreing 
Documents Required (No discripancy allowed in names on above documents) 4. Recent Color Photograph ‐ 2 nos nationals
1. Each candidate has to remain present for his/her 
document verification.
2. There will be short interview on varios aspects on 
Documents Verification his/her on  the job experience. ‐NA‐ ‐NA‐
Assuming all the required documents are valid,
1. Smelters ‐ 5 days (including trainings)
Average Gatepass Processing Time 2. Mines ‐ X days (Including trainings) ‐NA‐ ‐NA‐

Roles Skill and Experience requirements Minimum Qualification and Certifications Requirements Requirements  in Numbers


Add raws below for additional raws.
Site Incharge
Site Incharge ‐ Safety
Site Incharge ‐ Maintenance
Site Incharge ‐ Operations
Site Incharge ‐ Admin
Engineer ‐ Operations
B.E. /B. Tech ‐ Mech, Electrical, Insturmentation (relevant 
Engineer ‐ Maintenance BD maintenance, Knowledge of IMS,  branches) 5
Supervisor‐ Operations
Supervisor‐ Maintenance
Technician ‐ Electrician
Technician ‐ Fitter
Technician ‐ Rigger
Technician ‐ Welder
Helper
Driver ‐ Light Motor Vehicle
Driver ‐ Heavy Motor Vehicle
Driver ‐ Special Utility
Annexure-2 Resource and HSE Requirements
The planning documents needs to be filled wherever CSM standard is applicable. For larger project/job, there can be a master scope sheet supported by multiple sub-
projects/job sheets.
Project/ Job Title* Title highlighting the job/project objectives
Ref No of Main Project

Resources Non‐returnable materials Returnable Materials Vehicles ‐ Normal and Sp purpose


Average Time Required
Validity
Standard to be followed
Documents Required

Tools and PPE Required Estimate Quantity Specific Standards Remarks


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Contractor Safety Management
Contractor Safety Performance Scorecard
Name of the Unit ;
Month / Year Rating Scale
S.No. Attributes Rating by Frequency Max  Rating Achieved  Source 0 30 50 100
Marks total
1 Leadership Committement‐ SI‐ CFSA‐ Gemba walk and Mass  Contracts Manager (CM) Monthly 15 50 7.5 SI‐ CFSA portal, Evidence of of  less than 3 out of 6  Meeting 3 out of 6  Meeting 4 out of 6  At par with HZL
communication mass communication through  requirements from  requirements from  requirements from  4 SI/ CFSA
Cont Manager below  below  below  1 Gemba Walk
4 SI/ CFSA 4 SI/ CFSA 4 SI/ CFSA 1 Mass Communication
1 Gemba Walk 1 Gemba Walk 1 Gemba Walk
1 Mass Communication 1 Mass Communication 1 Mass Communication
2 Safety Training (to be conducted by the contractor) of  Contracts Manager (CM) Monthly 5 50 2.5 Training Records and Email  No planning or tracking Training are given on For >75% of Cases For >95% cases
contractor workforce including  Supervisor, as per agreed  Communications on Planning random bases * Training plan prepared  * Training plan prepared 
schedule * Adhered * Adhered
3 PTW and JSA compliance for Non routine activities Contracts Manager (CM) Monthly 10 100 10 SI and CFSA observations >25% of Observations  <25% observations falls  <15% observations falls  <5% observations falls 
falls under PTW and JSA  under tPTW and JSA non‐ under tPTW and JSA non‐ under tPTW and JSA non‐
non‐compliance compliance compliance compliance
4 Regularity of Tool Box Talks Contracts Supervisor (CS) Daily 5 100 5 TBT Records / SI and CFSA  <=15 days records are  >15 days records are  >20 days records are  >25 days records are 
observations available; Random  available; Random  available; Random  available; Random 
verification to be done  verification to be done  verification to be done  verification to be done 
during the month during the month during the month during the month
5 PPE including Uniform Quality, Adequcy and Usage Contracts Supervisor (CS) Daily 10 50 5 Hazard Reporting tool, SI and  >= 5 observations in the  <5 Non‐compliance in  <3 Non‐compliance in  Zero Non‐compliance in 
CFSA observations, Field visit month quality, adequcy and  quality, adequcy and  quality, adequcy and 
usage usage usage
6 Legal compliance status (Testing of Lifting Tools & Tackles,  Contracts Manager (CM) Monthly 15 30 4.5 Tools and tackles records Single or multiple non‐ ‐NA ‐NA Zero Non‐compliance;
Mobile Equipments, Safety Belts (full body harnesses, Fall  compliance
arresters, Valid Driving Licence etc.)  & periodic calibration of 
measuring tools.
Applied for recertification will be considered as compliance if 
applied before due date.
"Tools marked for not‐safe for use" will be out of the scope 
for this evaluation.
7 Storage & handling of Hazardous materials / Dangerous  Contracts Manager (CM) Monthly 10 50 5 Weekly Physical audits >=5 Non‐compliance  <5 Non‐compliance  <3 Non‐compliance  Zero Non‐compliance;
Goods such as gas cylinders, explosives, petrolium (hydro  found; found; found;
carbon) products, chemicals,  etc.
8 Periodical Medical Examination Contracts Manager (CM) Monthly 5 100 5 Medical records from CMO/  Single or multiple non‐ ‐NA ‐NA Zero Non‐compliance;
Vendor compliance
9 Near miss reporting/HIPOs Contracts Manager (CM) Monthly 10 50 5 NMI and IM Report (per  <= 0.1 report/ employee >0.1 report/employee >0.2 report/employee >0.25  report/Employee
month bases)
10 Reporting of Unsafe act/Unafe condition Contracts Manager (CM) Monthly 5 30 1.5 CFSA/HRT <0.1  0.1 to 0.25 reporting  0.26‐0.50   0.51‐1 
reporting/employee /Employee reporting  reporting/employee reproting/employee
11 Contracts Manager (CM) Monthly 10 100 10 CFSA/HRT <0.01  0.01 to 0.025 reporting  0.026‐0.050   0.051‐0.1 
Reporting of Severity 4‐5 Observations
reporting/employee /Employee reporting  reporting/employee reporting/employee
11 JCC audit of SOP/ SMP, High Risk activities, Fatality Prevention  Contracts Supervisor (CS) Monthly 10 50 5 Audit feedback < 2  audit per month 2 audit per month 3 audit per month >= 4 audit per month
Elements‐High Hazard Standards  at site.
12 Compliance of Life Saving Rules  Contracts Supervisor (CS) Monthly 15 30 4.5 LSR portal Single or multiple non‐ ‐NA ‐NA Zero Non‐compliance in 
compliance the month
13 Implementation of action plan, attributed to the contractor,  Contracts Manager (CM) Monthly 10 50 5 * Pending Actions on CFSA‐ SI <=50 % closure >50% closure >75% ontime closure >90% ontime closure
resulting from Monthly safety meetings, HSE inspection /  * Meeting MOMs
audits (SI & CFSA) within agreed time frame. * HSE Audit Observations
14 House keeping & equipment cleaning (including waste  Contracts Supervisor (CS) Daily 5 50 2.5 * HSE Audit finding >= 15 non‐compliance in  <15 Non‐compliance in  < 10 Non‐compliance in  < 3 Non‐compliance in 
removal from workplace after completion of work) * SI‐CFSA portal the month the month the month the month
15 Implementation of Best safety practices like Mock Drills,   Contracts Manager (CM) Monthly 10 50 5 * evidences of registrations  No Improvement  1 Improvement  2 Improvement  >2 Improvement 
suggestions / learnings/ Improvement projects/ Kaizens of  and implementations Initiatives Initiatives Initiatives Initiatives
other units or innovations
16 FAI and MTI during the month Contracts Manager (CM) Monthly 20 100 20 Incident Management Portal More than Zero case ‐NA ‐NA Zero Case
17 LTI and Fatality during the month Contracts Manager (CM) Monthly 30 100 30 Incident Management Portal More than Zero case ‐NA ‐NA Zero Case
Total  200 133

# Sensitivity: Public (C4)

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